Reimbursement

Business / Finance / Reimbursement: Payment made to someone for out-of-pocket expenses has incurred.

Health Reimbursement Arrangement (HRA)

Health / Dentistry / Health Reimbursement Arrangement (HRA) : An arrangement in which the participant is reimbursed for covered health expenses by his/her employer up to a predetermined amount. The CIGNA Choice Fund HRA gives the employer flexibility and choice MORE

Approved Charge

Business / Taxes / Approved Charge: With traditional fee-for-service health insurance, the insurance company sets an approved or allowable amount for each medical procedure or office visit. If your bill exceeds the approved charge, the MORE

Relative Value Scale (RVS)

Health / Health Insurance / Relative Value Scale (RVS): A method used by MCOs of determining provider reimbursement that assigns a weighted value to each medical procedure or service. To determine the amount the MCO will pay to the physician, the weighted MORE

Usual Customary And Reasonable (UCR) Fee

Health / Health Insurance / Usual Customary And Reasonable (UCR) Fee: The amount commonly charged for a particular medical service by physicians within a particular geographic region. UCR fees are used by traditional health insurance companies as the basis for physician MORE

Fee-For-Service

Business / Taxes / Fee-For-Service: When you’re covered by fee-for-service health insurance, you pay your medical bills and file a claim for reimbursement from your insurance company. Most fee-for-service plans pay a percentage — of MORE

Contract Management System

Health / Health Insurance / Contract Management System: An in- formation system that incorporates membership data and reimbursement arrangements, and analyzes transactions according to contract rules. The system may include features such as decision suppor MORE

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