Establishing a price for an all-inclusive package or global fee for all medical services needed for specific procedures. Bundled billing may include professional and institutional services that are high-cost or common procedures (e.g., coronary artery bypass graft, kidney transplant, maternity care).
Tag: RAW
Bundled codes
To group more than one component (service or procedure) provided in one day into one CPT code for submission on an insurance claim.
Bundled insurance product
Type of life insurance in which the mortality, investment, and expense factors used to calculate premium rates and cash values are not identified separately in the policy (e.g., traditional whole life insurance).
Bundled rate
See: flat fee-per-case .
Bundling
1. To group minor medical services or surgeries together with principal procedures when provided at the same time and submit them to the insurance company for reimbursement. 2. A payment method in which the insurance company or government program groups together the payment of the lesser service into the payment for the principal procedure to reimburse the provider of the medical service. Also called global pricing and package pricing . See packaging .
Bunker
Ship space for storing fuel (coal, oil, etc.).
Burden of proof
The onus is upon the insured to prove that his loss is within the operative clause. It is for the insurer to prove that the loss has been caused by an excepted peril. If the insurer has cut down the scope of the operative clause by qualifying the insured peril (see QUALIFIED PERILS) the insured must prove that the loss was caused by the peril as qualified.
Bureau
A cooperative ratemaking body, which is supported by member companies; the member companies agree to abide the rates published by the bureau
Bureau insurer
An insurance company that has joined a rating bureau, usually due to a lack of insurance company experience in a certain type of risk.
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Insurer that is a member of a rate and form advisory service (or “Bureau”) and uses the Bureau’s Policy forms and premium rates for most of its Insurance policies.
Bureau of Health Insurance (BUI)
Agency within the Social Security Administration that administers the Medicare program. Actual operation of the program is carried out through arrangements with fiscal intermediaries and insurance carriers, who operate under contract with BHI/SSA and receive all policy guidance from the Centers for Medicare and Medicaid Services (CMS).