Supplemental health benefit plan that pays for medical costs such as copayments and deductibles not covered by a primary benefit plan such as Medicare or TRICARE. Also called Medigap (MG) policy, gap fill, Medifill , and Medicare supplement policy .

In the Medicaid program, medical services not usually covered by managed care plans but covered either by referral or direct access to fee-for-service providers.

Order issued in writing by a court of law (e.g., subpoena).

Legal order by a court compelling a regulatory officer (insurance commissioner) to perform a specific act.

1. Assets or debts that have been determined to be uncollectable and are therefore adjusted off the accounting books as a loss. This does not represent a discount. 2. Difference between the total fee the provider billed for a medical service and the insurance company’s allowed fee for the service.

Misrepresentation or to withhold crucial facts in an adoption case (e.g., withholding medical or mental health history about a child when the parents expect to have a healthy child).

Termination of a life caused by a wrongful act, neglect, or fault (liability situation).X