The following is a list of terms that you may find useful when reviewing this document:
Company
Billing service, MSO, or physician practice
Practice
The clients of a company
Division
One or more taxable entities of a practice
Physician
.An individual who is licensed to practice medicine in accordance to the laws of the state in which they practice
Assistant
An individual who is licensed or certified to assist a physician in the practice of medicine. An assistant may be a Physicians Assistant, Nurse Practitioner, Certified Registered Nurse Anesthetist, Anesthesia Assistant, etc.
Facility
The hospital, surgery center, or office where services were rendered. Generally a street address.
Location
The place of service (HCFA/CMS) where the service was rendered. May be the same or a different street address as the facility.
O/R Suite
Operating Suite or Room in the facility where the service was rendered.
Patient
The person to whom the physician is providing medical services
Account
The person or entity who is legally and/or financially responsible for the patient.
Subscriber
The person who is holds the insurance under which medical services provided to the patient will be billed.
Carrier
Insurance company, Health Maintenance Organization, Self-Insured Corporation, or Healthcare Intermediary.
Plan
Maintains contract parameters, calculation of billed and allowed fees and claims submission criteria.
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Policy
The "intersection" of a plan, a patient and a subscriber.