Meet point billing definition

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meet point billing definition

(1) Price Cap CMT Revenue (as defined in §(CC)) per month as of July 1, carrier only base period MOUs (including meet-point billing arrangements for. Legislative terms are defined according to their use in state legislatures. A bill that has passed both houses of the legislature, been enrolled, ratified, CAUCUS -- An informal meeting of a group of the members; most commonly based on . POINT OF INFORMATION -- A request from a legislator to the presiding officer for. A Verizon Wholesale bill that consolidates the billed charges from the element revenues, as defined by their effective Exchange Access tariffs. Meet-Point Billing Traffic Refers to traffic that is subject to an effective Meet Point arrangement.

FISCAL NOTE -- A fiscal note seeks to state in dollars the estimated amount of increase or decrease in revenue or expenditures and the present and future implications of a piece of pending legislation. FLOOR - That portion of the legislative chamber reserved for members and officers of the assembly or other persons granted privileged access.

HOUSE -- Generic term for a legislative body; usually the body in a bicameral legislature that has the greater number of members; shortened name for House of Representatives or House of Delegates.

The procedure for designating the majority leader and other officers varies from state to state. MEMORIAL -- The method by which the legislature addresses or petitions Congress and other governments or governmental agencies; method by which the legislature congratulates or honors groups or individuals. Process of designation varies from state to state.

PATRON -- The person usually a legislator who presents a bill or resolution for consideration; may be joined by others, who are known as copatrons. A formal procedure required by constitution and rules that indicates a stage in enactment process.

Most often, a bill must receive three readings on three different days in each legislative body. ROLL CALL -- Names of the members being called in alphabetical order and recorded; used to establish a quorum or to take a vote on an issue before the body. Regular session -- the annual or biennial meeting of the legislature required by constitution Special or extraordinary session -- a special meeting of the legislature that is called by the governor or the legislature itself and limited to specific matters.

SPONSOR -- The person usually a legislator who presents a bill or resolution for consideration; may be joined by others, who are known as cosponsor. The term "statute" is used to designate written law, as distinguished from unwritten law.

GLOSSARY OF LEGISLATIVE TERMS

It can be in committee, on the calendar, in the other house, etc. VETO -- Action by the governor to disapprove a measure. When asked by the presiding officers, members respond "aye" or "nay. VOTE - Formal expression of a decision by the body.

meet point billing definition

A group of health care providers and suppliers of other goods and services to provide service to patients. The service a does not meet the requirements of a benefit and b may not be considered reasonable and necessary. A provider that is not contracted or accepts assignment with a particular plan. A nurse who has advanced training and assists physicians by providing care to patients in their absence.

Must stay within the scope of their abilities. NPs may also be considered providers.

  • GLOSSARY OF LEGISLATIVE TERMS
  • Jointly Provided Access Services (Meet Point Billing) - V14.0
  • NCSL Member Toolbox

Location, other than a hospital, skilled nursing facility SNFmilitary treatment facility, community health center, state or local public health clinic, or intermediate care facility ICFwhere the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis. A term describing a member's ability to self-refer for specialty care. These models allow patients to see a participating specialist without a referral.

Services a member receives from a health care provider who does not belong to the member's health plan's network of selected and approved physicians and hospitals. Exceptions are usually made for extreme emergencies or urgent care needed when traveling away from home. Out of Pocket Costs: Health care expenses that the patient is responsible for as they are not fully or partially covered by their plan. Medical or surgical care that does not include an overnight hospital stay.

Participating Physician or Supplier: A provider who agrees to accept assignment on the claims. These providers should only initially bill for the patient's cost share amount. In health care, an entity that assumes the risk of paying for medical treatments. This can be an uninsured patient, a self-insured employer, a health plan, or an HMO. Point of Service POS: A health plan option that allows members to use either a network provider or a non-network provider at their discretion.

If a member chooses to go out of network, they may pay a higher co-pay or deductible. Pre-existing Condition Medigap Policy: A medical condition the patient had before the date that a new insurance policy starts. A network of doctors and hospitals that provide health care services at a pre-negotiated lower price. Members receive better benefits when they use network providers, but have the option to use out-of-network providers for higher out-of-pocket costs.

The predetermined monthly membership fee a subscriber or employer pays for health plan coverage. Care designated to keep the patient healthy or to prevent illness, such as colorectal cancer screening, yearly mammograms, and flu shots. A basic level of care usually given by doctors who work with general and family medicine, internal medicine internistspregnant women obstetriciansand children pediatricians. A nurse practitioner NPa state-licensed registered nurse with special training, can also provide this basic level of health care.

An insurance policy, plan, or program that pays first on a claim for medical care.

How to markup a bill

Something done to fix a health problem or to learn more about it. For example, surgery, tests, and putting in an IV intravenous line are procedures. Individually identifiable health information transmitted or maintained in any form or medium, which is held by a covered entity or its business associate.

Identifies the individual or offers a reasonable basis for identification. Is created or received by a covered entity or an employer. Relates to a past, present, or future physical or mental condition, provision of health care or payment for health care.

Any healthcare provider such as hospital, physician, non-physician provider, laboratory, etc. The formal process that gives a health plan member authorization to receive care from a provider other than his or her primary care provider.

Without a referral, such care may not be covered. The verbal or written approval of a referral request that gives a health plan member authorization to receive care from a provider outside the plans established network. The physician a patient has been referred to by his or her primary care provider. An insurance policy that supplements the primary coverage and pays second on a claim for medical care.

A doctor who treats only certain parts of the body, certain health problems, or certain age groups. A participant in a health plan enrollee or eligible dependent who makes up the plan's enrollment. Also used to describe an individual specified within the policy who may or may not receive services according to the benefit limits.

Industry and regulatory approved billing standards IXC receives billing based on industry and regulatory approved standards. Applications Switched access services are the primary application for Jointly Provided Access Services. If you are an existing Co-provider wishing to amend your Interconnection Agreement or Customer Questionnaire, you can find additional information in the Interconnection Agreement.

The ASC will provide the operational, technical and administrative support required in the planning, provisioning and maintenance involved in the joint access provisioning process.

Each Co-provider will be responsible for obtaining regulatory approval of tariffs for any access services jointly provided by them. These guidelines cover the ordering and design process from submission of an Access Service Request ASR through completion of the order and are based on the concept of one of the Co-providers being placed in an ASC-EC role.

meet point billing definition