providers
Glossary Template Headline
- Balance Billing Test
- Billing a member for the difference between the allowed charge and the actual charge. See Allowed Benefit.
- Basic Coverage
- Hospital and medical coverage only -- does not include extended medical, major medical, dental and rider coverage. Also includes Medicare Part A and B coverage, exclusive of supplementary coverage.
- Behavioral Health Services
- See Mental Health Services.
- Benefit
- Any service or supply covered by the member's health insurance plan or contract.
- Benefit Period
- A period of time for which covered services (or benefits) are eligible for payment.
- Benefit Reduction Amount
- The amount subtracted from allowed benefits under certain cost-savings programs administered by CareFirst.
- Benefits Administrator
- Individual responsible for handling employee health benefits for the employer. See Group Administrator.
- BlueChoice
- An HMO plan offered by CareFirst BlueChoice, Inc., an independent licensee of the Blue Cross Blue Shield Association.
- Brand-name Drug
- A prescription drug that has been patented and is only available through one manufacturer.