BENEFIT TERMS
The amount of covered expenses that must be paid by the member before insurance starts paying
Deductible
WebTPA's mascot
Webster
Someone who is admitted to stay overnight in a hospital
In-Patient
Code used for diagnosis
ICD or ICD 10
Another name for the employee
Subscriber
When a member has two or more medical plans
COB (Coordination of Benefits)
WebTPA's Cultural Ambassador
Terry Penn
Prior condition resulting from injury or illness
Pre-Existing
Codes used for Ambulance Services
HCPC or Health Care Common Procedure Codes
Area that displays manually entered information
Member Category Information
A physician who focuses on a specific area of medicine
Specialists
Email address to reach our IT team
Support@webtpa.com
Term meaning Heat
Therm
Codes used for Procedures
CPT or Current Procedural Terminology
Shows what the member has contributed toward their cost-sharing each year.
Accumulators
This is a ambulatory facility that provides immediate medical attention.
Urgent Care
The Vice President of Operations
Shannon Junek
The Term "itis" refers to
Inflamation
Code added to a CPT code to further distinguish type of service rendered
Modifier
Shows who can receive information on a member
Privacy
Approval from the insurance company that a service is medically necessary.
Pre-Cert
WebTPA Sr. Director of Human Resource
Carol Barbaro
Term "rhino" refers to this part of the body
Nose
Codes used by hospitals
Revenue Codes
Displays records when member has more than one file
Member Links