Glossary of Terms
Updated
Introduction
This glossary defines common terms you will encounter while using Telemedcore. Terms are organized alphabetically.
A
Add-On — An optional feature that can be activated on top of your subscription plan (e.g., E-Prescribe, SMS Reminders).
Adjudication — The process by which an insurance payer reviews and decides payment on a submitted claim.
Appeal — A formal request to an insurance payer to reconsider a denied claim, typically accompanied by additional clinical documentation.
B
BAA (Business Associate Agreement) — A legally required contract between a healthcare provider and any entity that handles Protected Health Information (PHI) on their behalf.
Billing Cycle — The recurring period for subscription charges — either monthly or annual.
C
Claim — A formal request submitted to an insurance payer for reimbursement of healthcare services rendered.
Clean Claim — A claim that passes all validation checks and is accepted by the payer on the first submission.
Course Review — Faculty feedback and approval for a Student-authored course exercise. Telemedcore keeps this education record separate from the clinical Encounter, Claim, Patient registration, or Appointment.
CPT Code — Current Procedural Terminology code — a standardized code used to describe medical procedures and services.
D
Denial — A payer's decision to reject a claim for payment. Denials include a reason code explaining the rejection.
E
EHR (Electronic Health Record) — The digital version of a patient's medical chart, including encounters, diagnoses, medications, and lab results.
Encounter — A documented clinical visit between a provider and a patient.
ERA (Electronic Remittance Advice) — An electronic version of a payer's explanation of benefits, used to reconcile payments.
EOB (Explanation of Benefits) — A statement from an insurance payer detailing how a claim was processed.
H
HIPAA — The Health Insurance Portability and Accountability Act — federal law that protects the privacy and security of patient health information.
I
ICD-10 Code — International Classification of Diseases, 10th revision — a standardized code used to classify diagnoses and conditions.
M
MFA (Multi-Factor Authentication) — A security method requiring two or more forms of verification to access your account.
MRN (Medical Record Number) — A unique identifier assigned to each patient within a practice.
N
NPI (National Provider Identifier) — A unique 10-digit identification number for healthcare providers, required for claims submission.
P
PHI (Protected Health Information) — Any individually identifiable health information, including demographics, diagnoses, treatment records, and payment information.
S
Seat — A subscription unit representing one active provider. Staff roles do not consume seats.
SOAP Note — A structured clinical documentation format: Subjective, Objective, Assessment, Plan.
Published by The Telemedcore Team