Process of ending a pension or employee-benefit plan for a group of participants but not for another group. Sometimes this is done so that sponsors can reclaim some of the assets of an overfunded plan.

Procedure that is a part of a larger surgical procedure and needs a separate code (e.g., partial cystectomy vs. complete cystectomy). See separate procedure to learn the difference between partial and separate procedure. See also complete procedure to learn the difference between partial versus complete.

Stipulated dollar amount established for certain health care services while other services are reimbursed on a cost or fee-for-service basis.

State-licensed dentist who has signed a contract with an insurance plan to give dental services to the plan’s members.

1. State-licensed hospital that has signed a contract with an insurance plan to provide hospital services to the plan’s members. 2. Inpatient facilities that participate in the Medicare program.

Type of insurance provision in which the insured is entitled to receive policy dividends that reflect the difference between the premium charged and actual costs. Premiums are calculated to give some margin over the expected cost of the insurance protection. Also called participating policy.

Pharmacy that has signed a contract with an insurance plan to give medical services to the plan’s members.