Monday, February 24
Pended Claim
An insurance term for claims that are missing information necessary for the insurer to make a coverage decision.
Friday, February 21
Service Area
The geographical region covered by in-network health care providers.
Thursday, February 20
Medicaid Expansion
The Affordable Care Act allows states to extend Medicaid benefits to eligible childless adults up to 133% of the federal poverty line.
Wednesday, February 19
Platinum Plan
The highest actuarial level health plans available through the insurance exchanges, equal to a 90 percent actuarial value. Bronze, Silver, and Gold plans offer lower actuarial values.
Tuesday, February 18
Outpatient Care
Care delivered in a hospital or clinic, but for which the patient is not required to stay more than 24 hours.
Friday, February 14
Integrated Provider (IP)
A group of health care providers and facilities that offer a wide range of services.
Thursday, February 13
Elder Justice Act
A Provision of the ACA designed to protect the elderly from being targets of physical or psychological harm within the health care system.
Wednesday, February 12
Long-Term Care (LTC)
Health care services required for an extended period of time by individuals unable to fully execute activities of daily living; it can be provided by a variety of agencies in outpatient settings as well as on an inpatient basis.
Monday, February 10
Medicare
A federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease. The government pays providers for each service a patient receives.