Purposes
Court Documents
Legal Terms
Health Insurance Terms
Health Insurance Claims
100

Proof of driving qualification, primary form of identification, and age verification.

What is a driver's license?

100

The obligation to act or a period of acting as a member of a jury in court.

What is jury duty?

100

Inconspicuous details or conditions printed in an agreement or contract, especially ones that may prove unfavorable.

What is fine print?

100

An amount to be paid for an insurance policy.

What is a premium?

100

A formal request submitted to your insurance company to cover the costs of medical services or treatments, typically after you've received care.

What is a health insurance claim?

200

Identification, employment, and government benefits.

What is a social security card?

200

A license that a couple must obtain before getting married.

What is a marriage license?

200

A legally binding contract where parties agree to keep certain information confidential, preventing its disclosure to unauthorized individuals.

What is a non-disclosure agreement?

200

The amount of money you're responsible for paying out-of-pocket for covered services before your insurance company begins to cover costs.

What is a deductible?

200

The party which usually files a health insurance claim.

Who is the healthcare provider?

300

Proof of identity, proof of citizenship, and vital record.

What is a birth certificate?

300

A formal court document that signifies the end of a marriage and outlines the legally binding terms of the divorce.

What is a divorce judgement?

300

A contract that prohibits an employee from working for a competitor or starting a competing business for a specified period after leaving their job, often used to protect an employer's business interests.

What is a non-compete agreement?

300

A payment made by a beneficiary in addition to that made by an insurer.

What is co-payment?

300

A special kind of pre-service claim that requires a quicker decision because your health would be threatened if the plan took the normal time permitted to decide a pre-service claim.

What are urgent care claims?

400

International travel, proof of citizenship, and identification.

What is a passport?

400

The legal and practical relationship between a parent or guardian and a child

What is custody of children?

400

A particular and separate article, stipulation, or proviso in a treaty, bill, or contract.

What is a clause?

400

A type of insurance in which the insured pays a share of the payment made against a claim.

What is coinsurance?

400

Requests for approval required before medical care, such as preauthorization or a decision on whether a treatment or procedure is medically necessary.

What are pre-service claims?

500

The one common purpose shared between a Driver's License, a Social Security Card, a Birth Certificate, and a Passport.

What is identification?

500

A legal order issued by a judge, not law enforcement, to compel someone to appear in court, and can lead to arrest if they are not found

What is an arrest bench warrant?

500

Special words or expressions that are used by a particular profession or group and are difficult for others to understand.

What is jargon?

500

The highest amount you'll pay for covered healthcare services in a year, after which your insurance covers 100% of those costs.

What is an out-of-pocket maximum?

500

All other claims for benefits under your group health plan, including claims after medical services have been provided, such as requests for reimbursement or payment for the provided services.

What are post-service claims?

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