1. For Medicare, see Medicare administrative contractor (MAC) . 2. For TRICARE and CHAMPVA, the insurance company that handles the claims for care received within a region of the United States and services specific states. Also see TRICARE regions .

State in a managed care organization that has enough operating funds on hand, or in reserve, to cover all expenses associated with services for which it has taken on a financial risk.

1. Any continuous 12-month period used by insurance companies and the government as an accounting period. 2. In the Medicare and TRICARE programs, the federal government’s fiscal year is from October 1 to September 30.

In the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM ), a letter and two digits followed by a period or decimal point and up to three numbers that give more information on the description of a condition.

Use of internal and/or external hardware (e.g., pins, rods, plates, wires) to keep a bone in place; also referred to as instrumentation .

Settlement option in a life insurance policy wherein the insurance company uses policy proceeds plus interest to pay the beneficiary either annually or semiannually until the proceeds plus interest are all gone. Also called fixed payment option .

Net worth of hospital or other health facilities and other resources.

Expenses that do not change with fluctuations in number of members or use of medical services in a managed care plan.
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UK:REFERENCES: See: STANDING CHARGES.

Settlement option in a life insurance policy wherein the insurance company uses policy proceeds plus interest to pay the beneficiary either annually or semiannually for a specific period of time.