To help you understand your bills and statements, Children’s Minnesota has put together this short glossary. Show Admission diagnosis Admission certification Ambulatory Surgery Center (ASC) – Minnetonka Assignment of benefits Birthday rule Co-insurance Commercial carrier Contractual allowance Co-payment Coordination of Benefits (COB) Covered charges CPT code Deductible Diagnosis Explanation of Benefits (EOB) Federal tax number Financial class HCFA-1500 form Ineligible Insurance group number Interim billing Insured Medical record Medicaid Non-covered charges Non-covered
days Out-of-network Payment Payer Per diem Pre-certification Pre-existing condition Preferred Provider Organization (PPO) Primary carrier Principle diagnosis code Provider Provider number Referral Secondary
insurance Self-pay Third-party
liability Treatment authorization code Waiver What is the birthday rule quizlet?What is the birthday rule? The birthday rule applies to parents who both have health insurance and list their children as dependents. The health plan of the parent whose birthday comes first in the calendar year is considered primary & will be billed first for insurance claims.
What is policyholder when applying the birthday rule?The birthday rule says that primary coverage comes from the plan of the parent whose birthday (month and day only) comes first in the year. The other parent's health plan then provides secondary coverage.
Does Minnesota have the birthday rule?Birthday rule
The insurer of the parent whose birthday month falls first in the year is the primary payer. This applies to non-divorced parents.
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