A list of cash allowances attached to the policy, which are payable for various types of surgery, with a maximum amount based upon the severity of the operation.
List of maximum amounts payable for various types of surgery; amounts are based on the complexity of the operation. Third-Party Administration (Administrator) (TPA) An outside person or firm (not a party to a contract) that maintains all records of persons covered under an insurance plan. The TPA also may pay claims using the draft book system.
List of cash allowances payable for various types of surgery, with the respective maximum amounts payable based upon severity of the operations; stipulated maximum usually covers all professional fees involved, e.g., surgeon, anesthesiologist.
A list of maximum amounts payable by the policy for various types of surgery, with the amount based on the severity or complexity of the operation.
A list of the cash amounts that will be paid for various types of surgery with the amount payable generally based upon the seriousness of the operations. erm Insurance: Life insurance written for a specific time period and payable only if the policyholder dies within that time period.
The part of a health insurance policy that describes the maximum benefit amounts payable for specified surgical procedures. See also fee schedule and relative value schedule.