{"id":818,"date":"2014-02-17T09:07:23","date_gmt":"2014-02-17T14:07:23","guid":{"rendered":"http:\/\/plankdev1.com\/?page_id=818"},"modified":"2021-11-11T11:09:17","modified_gmt":"2021-11-11T16:09:17","slug":"patient-insurance-glossary-of-terms","status":"publish","type":"page","link":"https:\/\/www.strandgi.com\/patient-insurance-glossary-of-terms\/","title":{"rendered":"Patient Insurance Glossary of Terms"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-jsxntwum-14f103616bfc762f29830a4aa33a5830 entry-content-wrapper main_color av-flex-cells  avia-builder-el-0  el_before_av_layout_row  avia-builder-el-first  av-small-hide av-mini-hide container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" 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class='av-special-heading-tag'  itemprop=\"headline\"  >Patient Insurance Glossary of Terms<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<\/div><\/div><\/div><div id='av-layout-grid-2'  class='av-layout-grid-container av-jsxnu4rg-ebb1bb6662c96e030777f11760f2529f entry-content-wrapper main_color av-flex-cells  avia-builder-el-3  el_after_av_layout_row  el_before_av_section  grid-row-not-first av-desktop-hide av-medium-hide container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jsxnnavx-5067ff6318939416710cfc62044a2ef1\">\n.flex_cell.av-jsxnnavx-5067ff6318939416710cfc62044a2ef1{\nvertical-align:top;\nbackground:url(https:\/\/www.strandgi.com\/wp-content\/uploads\/2019\/03\/header-bg-about-1030x497.jpg) 0% 0% no-repeat scroll ;\n}\n.responsive #top #wrap_all .flex_cell.av-jsxnnavx-5067ff6318939416710cfc62044a2ef1{\npadding:60px 0px 60px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-jsxnnavx-5067ff6318939416710cfc62044a2ef1 av-gridrow-cell av_one_full no_margin  avia-builder-el-4  avia-builder-el-no-sibling  avia-full-stretch'  ><div class='flex_cell_inner'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1\">\n#top .av-special-heading.av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1{\npadding-bottom:10px;\ncolor:#ffffff;\nfont-size:62px;\n}\nbody .av-special-heading.av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1 .av-special-heading-tag{\nfont-size:62px;\n}\n.av-special-heading.av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1 .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top #wrap_all .av-special-heading.av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n\n@media only screen and (max-width: 479px){ \n#top #wrap_all .av-special-heading.av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1 .av-special-heading-tag{\nfont-size:0.8em;\n}\n}\n<\/style>\n<div  class='av-special-heading av-jt7c86og-ecb061cd1e78b464019bfaa9463900f1 av-special-heading-h1 custom-color-heading blockquote modern-quote modern-centered  avia-builder-el-5  avia-builder-el-no-sibling  av-inherit-size'><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >Patient Insurance Glossary of Terms<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<\/div><\/div><\/div><div id='av_section_1'  class='avia-section av-g0qz6-0ecea026f913bf9b7ae475c4c7ab990f main_color avia-section-default avia-no-border-styling  avia-builder-el-6  el_after_av_layout_row  avia-builder-el-last  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-818'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-amzo2-8ec03200f4d2aeb215acb50b02c0bd4f\">\n.flex_column.av-amzo2-8ec03200f4d2aeb215acb50b02c0bd4f{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-amzo2-8ec03200f4d2aeb215acb50b02c0bd4f av_one_full  avia-builder-el-7  avia-builder-el-no-sibling  first flex_column_div av-zero-column-padding  '     ><section  class='av_textblock_section av-77omi-43c24c83e595fd4c4bc737386cf3d49f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Benefit &#8211;<\/strong> The amount your plan will pay a health care provider, as stated in your policy, toward the cost of the procedure to be performed.<\/p>\n<p><strong>Bill\/Invoice\/Statement &#8211;<\/strong> The summary of your medical bill.<\/p>\n<p><strong>Claim &#8211;<\/strong> The form that the health care provider files with a health insurance company that details the services and procedures performed by the health care provider, on your behalf, and other pertinent data that is required by the health insurance company to receive payment.<\/p>\n<p><strong>Co-Payment or Co-Pay &#8211;<\/strong> The part of your medical bill you must pay each time you visit your health care provider. Physician office co-pays differ from hospital\/ambulatory surgery center co-pays.<\/p>\n<p><strong>Co-Insurance &#8211;<\/strong> The part of your bill, often in addition to a co-pay, that you must pay. Co-insurance is usually a percentage of the total medical bill\u2014for example insurance pays 80 percent, patient pays 20 percent.<\/p>\n<p><strong>Deductible &#8211;<\/strong> The amount you must pay for medical treatment before your health insurance company starts to pay\u2014for example, $500 per individual or $1,500 per family. In most cases, a new deductible must be satisfied each calendar year.<\/p>\n<p><strong>In-network &#8211;<\/strong> The health care provider has a contract with the health insurance company to provide you with medical care. The health care provider will submit your medical bill directly to the health insurance company for payment. However, you may be responsible for a co-payment, deductible and\/or co-insurance according to your health insurance company benefit plan.<\/p>\n<p><strong>Non-covered charges &#8211;<\/strong> Costs for medical treatment that your health insurance company does not pay. You may wish to determine if your treatment is covered by your health insurance policy before you are billed for these charges by your health care provider.<\/p>\n<p><strong>Out-of-network &#8211;<\/strong> The health care provider is not contracted with the health insurance company to provide you with medical treatment. You are responsible for the payment of the medical care. Your health care provider may agree to submit your medical bill directly to the payer for payment. However, you may be responsible for an increased co-payment, deductible, co-insurance and\/or additional charges according to your insurance company benefit plan.<\/p>\n<p><strong>Pre-authorization or certification number &#8211;<\/strong> A number authorizing the health insurance company to pay benefits for your care. You may need to obtain an approval number from your health insurance representative before you see your health care provider in order for the health insurance company to pay for your medical treatment. Your health care provider might be able to help you obtain the approval from the health insurance company.<\/p>\n<p><strong>Primary health insurance company &#8211;<\/strong> The health insurance company that is responsible to pay your benefits first when you have more than one health insurance plan.<\/p>\n<p><strong>Secondary health insurance company &#8211;<\/strong> The secondary health insurance company is not the first payer of your claims. The remaining claim balance will be sent to a secondary health insurance company, if provided, after payment is received by the primary health insurance company.<\/p>\n<p><strong>Advanced beneficiary notice (ABN) &#8211;<\/strong> If Medicare will not pay for a procedure, the health care provider will request you to review and sign an Advanced beneficiary notice. This notice will assist you in determining whether you wish to have the procedure performed and how you prefer to pay for it.<\/p>\n<\/div><\/section><\/div>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='after_section_1'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-818'><div class='entry-content-wrapper clearfix'><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Patient Insurance Glossary of Terms - Strand GI Associates &amp; Endoscopy Center - Myrtle Beach, SC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.strandgi.com\/patient-insurance-glossary-of-terms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patient Insurance Glossary of Terms - Strand GI Associates &amp; 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