Glossary of Terms

HRA:  Health Reimbursement Arrangement

FSA:  Flexible Spending Account

DCA:  Dependent Care Account

TRN:  Transit Account

PKG:  Parking Account

Deductible:  The portion of a claim that is not covered by the insurance carrier; this is the patient’s responsibility.

Co-insurance:   The amount of money expressed as a percentage that an individual is required to pay for services, after a deductible has been paid. The insurance carrier pays the balance.

Co-payment:  A predetermined flat fee that an individual pays for health care services. The insurance company pays the balance.

Explanation of Benefits (EOB): A statement from the insurance company showing the amount paid, the amount the patient must pay, and the dates of service.

In-network: Providers that are part of a health plan's network of providers with which it has negotiated a discount.

Network Savings:  A negotiated discount determined by in-network providers and the insurance company; the patient is not responsible for this amount.

Provider: Health professionals who provide health care services.

Claim:  A request for reimbursement by an employee for a service that has been paid out of pocket.

ACH:  Automated Clearing House form to authorize direct deposit of manually submitted claims.

Information Request:  A letter sent by The Choice Care Card™ to you detailing the documentation required to be sent in to substantiate a purchase with The Choice Care Card.

Additional Documentation Request:  A letter sent by The Choice Care Card™ to you indicating that the documentation received was not sufficient and additional documentation is required.

Second and Final Request:  A letter sent by The Choice Care Card™ to you indicating that documentation has not been received. This letter indicates that you will have 30 days to submit proper documentation in order to substantiate your purchase. Failure to do so may inactivate your account.

Ineligible:  The purchase made with your Choice Care Card either is not an eligible expense under the plan or that failure to submit additional documentation has rendered the expense ineligible.

Pending:  Awaiting documentation for approval.

Approved:  A charge that has been substantiated by proper documentation.

Terminated:  No longer participating on The Choice Care Card™.

Over the Counter:  Medicines or supplies that are sold without a prescription.

Date of Service (DOS):  The date the service was provided.