What does ineligible mean in medical terms?
Asked by: Bertram Schuppe | Last update: August 13, 2023Score: 4.9/5 (66 votes)
Definition: Ineligible procedures are medical procedures that are excluded from a specific health plan.
What does ineligible mean in medical billing?
Ineligible – amount considered not eligible or not covered under the plan.
What does it mean to be ineligible?
To be ineligible is to not qualify for something. When you're eligible for something — like a contest — you are allowed to enter. Being ineligible is the opposite; it means that you can't enter or participate in something.
What is an example of ineligible?
She was ineligible for the contest. = She was ineligible to participate in the contest. They are ineligible for a loan.
What is another word for not eligible?
synonyms for ineligible
On this page you'll find 25 synonyms, antonyms, and words related to ineligible, such as: unavailable, unfit, unqualified, unsuitable, disqualified, and inappropriate.
Ineligible | INELIGIBLE definition
What is another word for eligible?
On this page you'll find 39 synonyms, antonyms, and words related to eligible, such as: acceptable, likely, qualified, suitable, appropriate, and becoming.
What does eligible vs illegible mean?
eligible- having the right to do or obtain something; satisfying the appropriate conditions. illegible- not clear enough to be read.
What is an example of eligible?
She is eligible to be (elected) president. He won't be eligible to retire until next year.
What does application ineligible mean?
Ineligible Application means an application that cannot be considered for funding according to the grant guidelines or an application seeking funding for an ineligible project.
What does ineligible age mean?
Age of Ineligibility means the age at which dependents are no longer eligible for coverage subject to the definition of Eligible Dependent.
What does permanently ineligible mean?
A person permanently barred from obtaining US citizenship is inadmissible. This category of people primarily includes people who got out of military service based on their alienage, and people who left the US to avoid the draft.
What is patient responsibility ineligible?
Ineligible – A portion or amount of the amount billed that was not covered or eligible for payment under your plan. Total Responsibility (What you Owe) – This section the of the bill shows what is your responsibility to pay.
What are some reasons people get denied or are ineligible for insurance?
Car insurance companies are more likely to deny insurance to people they believe are more likely to file a claim. Insurance companies frequently deny coverage if the applicant has a recent history of accidents, a series of minor traffic tickets or a serious infraction such as a DUI.
What is medical denied?
A health insurance denial happens when your health insurance company refuses to pay for something. If this happens after you've had the medical service and a claim has been submitted, it's called a claim denial.
What does eligible status mean?
If you're qualified for something or allowed to take part in it, you have eligibility. Having a valid driver's license means you have the eligibility to drive a car. The noun eligibility is good for describing the state of being qualified for or worthy of something.
How do you use ineligible in a sentence?
(1) Temporary workers are ineligible for the pension scheme. (2) The country had been declared ineligible for World Bank lending. (3) The new rules have made thousands more people ineligible for legal aid. (4) He was declared ineligible for the competition because he worked for the company that ran it.
What are eligible rules?
Eligibility rules are used to determine whether employees are eligible for a plan. Employees must meet the condition of at least one rule to be considered eligible for the benefit. For example, you have two rules on a plan. The first rule (line 1) states that the employee type must be Employee.
What is the meaning of eligibility in one word?
: the quality or state of being eligible : fitness or suitability to be chosen, selected, or allowed to do something. The applicants must meet all requirements for eligibility.
What is eligible and illegible examples?
Eligible means qualified, entitled: “Only people who have passed college are legible to participate in the job fair.” Ineligible is the antonym of eligible and means not qualified or permitted to participate: “Because of his low marks, he was ineligible for the job.”
What medical conditions prevent you from getting life insurance?
Life insurance companies base their decisions to approve or deny coverage on risk. So, there is a chance that you may be denied life insurance if you have an illness like heart disease, cancer, diabetes, or HIV/AIDS. You may also be denied if you have a history of mental illness.
Is high blood pressure a pre existing condition?
High blood pressure (also called hypertension) is a common pre-existing medical condition, and can be covered by your policy - but you need to meet the conditions below.
Can health insurance deny you?
Under the Affordable Care Act, health insurance companies can't refuse to cover you or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts. They also can't charge women more than men.
What is the process to determine patients eligibility called?
Medical insurance verification is the process in which a medical billing team determines a patient's insurance coverage for medical services, as well as the patient's financial responsibility.
Can you bill a patient for a denied claim?
While you have an obligation to file claims in a timely manner, you cannot do so without the patient providing correct information. If the claim is denied because the patient did not provide accurate information, but you acted in good faith, you should balance bill the patient.
Why would a provider deny a procedure if a patient needed it?
The patient is disruptive or otherwise difficult to handle; The doctor does not have a working relationship with the patient's healthcare insurance provider; The doctor's personal convictions, such as a doctor refusing to perform an abortion for religious reasons or refusing to prescribe narcotics for pain; and.