- Behavioral Care
-
Behavioral care refers to treatment for a mental illness or disorder, a functional nervous disorder, or addiction. Behavioral care is also commonly called psychoanalytic care or psychiatric care.
- Related Terms: Mental Health Parity Act of 1996
- Benefit
- A benefit is a product or service that a plan pays for in part or in whole.
- Related Terms: Covered Expenses, Mandated Benefits, Qualified Benefits, Qualified Medical Expenses
- Benefit Booklet
- A benefit booklet is the summary plan description (SPD) for a self-funded plan or the insurance certificate for a fully insured plan.
- Related Terms: Summary Plan Description
- Benefit Year
-
A benefit year refers to the fiscal 12-month period during which yearly plan design features such as the deductible, out-of-pocket maximum, and specific benefit maximums accumulate. A benefit year is often, but not always, January 1 through December 31.
- Related Terms: Plan Year
- Broker/Agent
-
A broker or an agent is an authorized representative of a group who solicits insurance contracts and services on the group's behalf even though an insurance company or third-party administrator (TPA) may pay the broker or agent commissions.
- Related Terms: Third-Party Administrator
- Bundling
- Bundling is a method by which two or more medical services are combined for payment.
- Business Associate
-
A business associate is a third party that acts on behalf of a covered entity by performing a function or activity that HIPAA's Administrative Simplification rules regulate or that provides certain services (e.g., legal or consulting services) that involve the use or disclosure of individually identifiable health information.
- Related Terms: Covered Entity, Health Insurance Portability and Accountability Act of 1996, Protected Health Information
