©2011-2018 Open Source Electronic Health Record Alliance
This work is licensed under a Creative Commons Attribution 3.0 Unported License
This work is licensed under a Creative Commons Attribution 3.0 Unported License
IBINI04F ; ; 21-MAR-1994
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
Q:'DIFQR(355.1) F I=1:2 S X=$T(Q+I) Q:X="" S Y=$E($T(Q+I+1),4,999),X=$E(X,4,999) S:$A(Y)=126 I=I+1,Y=$E(Y,2,999)_$E($T(Q+I+1),5,99) S:$A(Y)=61 Y=$E(Y,2,999) X NO E S @X=Y
Q Q
;;^UTILITY(U,$J,355.1,18,10,5,0)
;;=companies, or hospital-medical plans.
;;^UTILITY(U,$J,355.1,20,0)
;;=HOSPITAL EXPENSE INSURANCE^HEI^1
;;^UTILITY(U,$J,355.1,20,10,0)
;;=^^2^2^2930604^
;;^UTILITY(U,$J,355.1,20,10,1,0)
;;=Health insurance protection against the costs of hospital care
;;^UTILITY(U,$J,355.1,20,10,2,0)
;;=resulting from the illness or injury of an insured person.
;;^UTILITY(U,$J,355.1,22,0)
;;=INDIVIDUAL PRACTICE ASSOCATION (IPA)^IPA^1
;;^UTILITY(U,$J,355.1,22,10,0)
;;=^^3^3^2930604^
;;^UTILITY(U,$J,355.1,22,10,1,0)
;;=An organization in which a program administrator contracts with a
;;^UTILITY(U,$J,355.1,22,10,2,0)
;;=number of pysicians who agree to provide treatment to subscribers in
;;^UTILITY(U,$J,355.1,22,10,3,0)
;;=their own offices for a fixed capitation payment per month.
;;^UTILITY(U,$J,355.1,24,0)
;;=KEY-MAN HEALTH INSURANCE^KMHI^1
;;^UTILITY(U,$J,355.1,24,10,0)
;;=^^5^5^2930604^
;;^UTILITY(U,$J,355.1,24,10,1,0)
;;=An individual or group insurance policy designed to protect an essential
;;^UTILITY(U,$J,355.1,24,10,2,0)
;;=employee or employees of a firm against the loss of income resulting
;;^UTILITY(U,$J,355.1,24,10,3,0)
;;=from disability. If desired, it may be written for the benefit of
;;^UTILITY(U,$J,355.1,24,10,4,0)
;;=the employer, who usually continues to pay the salary during periods
;;^UTILITY(U,$J,355.1,24,10,5,0)
;;=of disability.
;;^UTILITY(U,$J,355.1,27,0)
;;=MAJOR MEDICAL EXPENSE INSURANCE^MMEI^1
;;^UTILITY(U,$J,355.1,27,10,0)
;;=^^11^11^2930604^
;;^UTILITY(U,$J,355.1,27,10,1,0)
;;=Health insurance to finance the expense of major illnesses and
;;^UTILITY(U,$J,355.1,27,10,2,0)
;;=injuries. Major medical policies usually include a deductible
;;^UTILITY(U,$J,355.1,27,10,3,0)
;;=clause, which means that the individual or another insurer
;;^UTILITY(U,$J,355.1,27,10,4,0)
;;=contributes toward the cost of the medical expenses. The
;;^UTILITY(U,$J,355.1,27,10,5,0)
;;=larger the deductible, the greater the savings in premium cost.
;;^UTILITY(U,$J,355.1,27,10,6,0)
;;=Above this initial deductible, major medical insurance is
;;^UTILITY(U,$J,355.1,27,10,7,0)
;;=characterized by large benefit maximums, ranging up to $25,000
;;^UTILITY(U,$J,355.1,27,10,8,0)
;;=or even beyond. The holder is reimbursed for the major part
;;^UTILITY(U,$J,355.1,27,10,9,0)
;;=of all charges for the hospital, the doctor, private nurse, medical
;;^UTILITY(U,$J,355.1,27,10,10,0)
;;=appliances, and prescribed out-of-hospital treatment, drugs, and
;;^UTILITY(U,$J,355.1,27,10,11,0)
;;=medicines.
;;^UTILITY(U,$J,355.1,28,0)
;;=MANAGED CARE SYSTEM (MCS)^MCS^1
;;^UTILITY(U,$J,355.1,28,10,0)
;;=^^4^4^2930604^
;;^UTILITY(U,$J,355.1,28,10,1,0)
;;=A self-administered, self-insured program that is an agreement
;;^UTILITY(U,$J,355.1,28,10,2,0)
;;=between the employer and the employee. The employee may choose
;;^UTILITY(U,$J,355.1,28,10,3,0)
;;=the provider. Once a procedure or service has been approved,
;;^UTILITY(U,$J,355.1,28,10,4,0)
;;=the physician is free to charge his or her regular fee.
;;^UTILITY(U,$J,355.1,29,0)
;;=MEDICAID^MD^6
;;^UTILITY(U,$J,355.1,29,10,0)
;;=^^3^3^2930604^
;;^UTILITY(U,$J,355.1,29,10,1,0)
;;=A plan sponsored jointly by the federal and state governments for
;;^UTILITY(U,$J,355.1,29,10,2,0)
;;=people eligible for public assistance and some other low-income
;;^UTILITY(U,$J,355.1,29,10,3,0)
;;=people. Coverage and benefits vary widely from state to state.