1. Health insurance plan that directly contracts with providers such as Blue Cross and Blue Shield. The providers directly bill the plan and the plan pays directly to the providers. The providers agree to certain fees and payment in full with no balance billing to the patient. The patient (member or insured) is responsible for the deductible and copayments. 2. Written document that outlines the types and frequency of long-term care services that a client receives. It may include treatment goals for a specified time period. 3. See plan of treatment .
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Insurance coverage that has contracts with providers and in which health care benefits are given to individuals instead of monetary payment. Sometimes a Blue Cross and Blue Shield plan may be referred to as a service plan .

Any individual who gives medical services or conducts a medical procedure.

Individual who is retired from a career in the armed forces; also known as military retiree .

Disability incurred by a service member while on active duty.

Injury incurred by a service member while on active duty or incurred during reserve duty with a military unit.

ICD-9-CM diagnostic codes that are used when a person who is not currently sick encounters health services for some specific purpose such as identify or define a physical examination, aftercare, ancillary service, or therapy. In these situations the V code appears as a primary code and is placed first for the purpose of billing outpatient services.

Hospital bed set up and ready for the medical care of a patient that includes space, equipment, medical material, and ancillary and support services but no available staff to operate.

Arrangement between an insurance company and an insured about the method of payment of the insurance proceeds to the beneficiary.

Method in which a policyholder or beneficiary may choose to have an insurance policy’s proceeds paid.
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An option in an insurance policy as to the form in which a claim may be settled. Thus, in property insurance, the insurer may commonly choose whether to pay, replace or make good.

Periodic payments of life insurance policy proceeds to the insured by an insurance company instead of a lump-sum payment.