Mathematical calculation applied to insurance claim costs so that adjustments can be made for possible increases in the costs from one time period to another.

Extended preservices or postservices given to a patient by a doctor that go beyond the usual time allotted in either inpatient or outpatient settings.

Services that go beyond the usual time allotted in either inpatient or outpatient settings.

1. List of items displayed on a CRT from which the typist can choose the function to be performed. Also known as menu. 2. In liability insurance cases, prompt or promptly means payment within 120 days after the earlier of the date a claim is filed with an insurer or a lien is filed against a potential liability settlement. It can also mean the date the service was furnished or, in the case of inpatient hospital services, the date of discharge. 3. In no-fault insurance and workers’ compensation cases, prompt or promptly means payment within 120 days after receiving the insurance claim.

State statutes designed to govern actions of insurers and third-party payers to pay insurance claims in a timely manner; also outlines actions collectors can take against insurance companies if statutes are not followed.

Official document(s) that report the birthplace, date of birth, and parents’ full names and home addresses such as a certified copy-of-birth record or a document supplied by a federal government agency during the census period that followed birth. This document may be required for a child participating in Little League in certain locations.

Evidence or process to verify that a patient is entitled to medical benefits in an insurance plan or program.

In workers’ compensation cases, evidence submitted by a process server that he or she has successfully delivered a legal document to a defendant in an action. Also called return of service.

Insurance claim that is submitted to the insurance carrier in a timely manner and meets all other claims filing requirements of the third-party payer (e.g., mandatory second opinion or prior authorization or approval before treatment).