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).

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 .

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).

Type of business and personal insurance for loss of property due to theft or larceny.

Occupational illness in which there is mental or physical energy depletion after a period of chronic, unrelieved, job-related stress. It is characterized sometimes by physical illness, perception of being tired, and being disgruntled with one’s work.

Person who, on behalf of the covered entity, performs or assists in the performance of a function or activity involving the use or disclosure of individually identifiable health information including claims processing or administration, data analysis, processing or administration, utilization review, quality assurance, billing service, benefit management, practice management, medical transcription service, and repricing.

Contract between the provider and a clearinghouse that submits the electronic claims on behalf of the provider.

Organization of several employers with a purpose of monitoring and communicating information on health care issues that affect employees. These employers form a cooperative to manage the benefits and expenditures and purchase group health care insurance coverage at a discounted price for their employees.
***
A Group that has made statistical analyses and other efforts to control health care costs through combining businesses in a city or region to enhance medical care purchasing power and identify low cost providers.