Benefit year that the managed care or health insurance plan is in effect.

Health care financing approach requiring employers to provide private insurance coverage for their workers or pay a tax that would go into a public regional fund to cover the uninsured.

Acronym that translates as professional liability insurance. See malpractice insurance.

In the CPT code book, symbol that precedes a code number indicating the code may be reported in addition to the parent or primary procedure code number. Add-on codes are never reported for stand-alone services but are reported secondarily in addition to the primary procedure. Also see add-on code.

Abbreviation for per member per month. See member months.

Abbreviation for per member per year. See member months.

Preparation of killed microorganisms, living attenuated organisms, or living fully virulent organisms that is administered to produce or artificially increase immunity to pneumonia.