[ A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z ] B . . . Balance Billing The practice of billing a patient for the fee amount remaining after insurer payment and co-payment have been made. Base Year Costs In Medicare, the amount a hospital actually spent to render care in a previous time period. Depending on the hospital's Medicare cost reporting period, the base year was the fiscal year ending on or after September 30, 1982 and before September 30, 1983 for hospitals in operation at that time. Beneficiary (Also eligible; enrollee; member) Any person eligible as either a subscriber or a dependent for a managed care service in accordance with a contract. Benefit Limitations Any provision, other than an exclusion, which restricts coverage in the Evidence of Coverage, regardless of medical necessity Benefit Package The services a payer offers to a group or individual. Benefit Payment Schedule List of amounts an insurance plan will pay for covered health care services. Benefits Benefits are specific areas of Plan coverage's, i.e., outpatient visits, hospitalization and so forth, that make up the range of medical services that a payer markets to its subscribers. Also, a contractual agreement, specified in an Evidence of Coverage, determining covered services provided by insurers to members. Board Certified (Boarded, Diplomate) Describes a physician who has passed a written and oral examination given by a medical specialty board and who has been certified as a specialist in that area. Board Eligible Describes a physician who is eligible to take the specialty board examination by virtue of being graduated from an approved medical school, completing a specific type and length of training, and practicing for a specified amount of time. Some HMOs and other health facilities accept board eligibility as equivalent to board certification, significant in that many managed care companies restrict referrals to physicians without certification. [ A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z ]