Terms : Hide Images
| 2374816326 | Benefit Period | A period of time during which medical benefits are available to an insurance beneficiary. | 0 | |
| 2374816327 | Categorically Needy | The Medicaid eligibility group that includes cash recipients of Aid to Families with Dependent Children (AFDC)--now known as Temporary Assistance to Needy Families (TANF), most cash recipents of Social Security Income (SSI), and certain other groups of low-income, aged, and disabled persons. | 1 | |
| 2374816328 | Crossover | Reassignment of gaps in coverage that eliminates the need for a beneficiary to file a separate claim with his or her Medigap insurer. It usually requires the beneficiary to sign release-of-information and assignment-of-benefit forms with their providers. | 2 | |
| 2374816329 | Intermediaries | A private company that has a contract with Medicare to pay Part A and some Part B bills. | 3 | |
| 2374816330 | Limiting Charge | The maximum amount a non-participating physician can charge a Medicare patient on a non-assigned claim. | 4 | |
| 2374816331 | Medically Needy | An optional Medicaid program that allows states to extend Medicaid eligibility to additional qualified persons who may have too much income to qualify under the mandatory or optional categorically needy groups. Generally, those qualifying under the medically needy program receive medical services, but not cash assistance. | 5 | |
| 2374816332 | Medi-Medi | Term used to refer to a beneficiary who is covered under the Medicare program but is also eligible for coverage throught the Medicaid program. | 6 | |
| 2374816333 | Restricted Status | Status that requires a beneficiary to see a designated physician or pharmacy for eligible persons covered under the Medicaid program. | 7 | |
| 2374816334 | Supplemental Security Income (SSI) | Government program funded by general taxes that helps pay living expenses for low-income older people and those who are blind or have disabilites. May be issued to an injured worker due to the percent of impairment rating, or if the worker has not been able to find employment that matches his or her ability to work. | 8 | |
| 2374816335 | Scrubbing | Intricate cleaning of a claim by a clearinghouse before submission. "Cleaning" refers to making sure all required data has been entered accurately. | 9 |
