Glossary

An NCPDP standard designed for use by high-volume dispensers of pharmaceuticals, such as retail pharmacies. Use of Version 5.1 of this standard has been mandated under HIPAA.

A NCPDP format designed for use by high-volume dispensers of pharmaceuticals, such as retail pharmacies. The Secretary of HHS adopted Version 5.1 of this format as a standard transaction.

Equipment to give medicine in a mist form to your lungs.

When care takers do not give a person they care for the goods or services needed to avoid harm or illness.

A group of doctors, hospitals, pharmacies, and other health care experts hired by a health plan to take care of its members.

An organization under contract with the Centers for Medicare & Medicaid Services whose responsibility includes, but is not limited to, the processing of applications for, and deactivations of, National Provider Identifiers (NPIs), and the processing of changes of information to health care providers' records contained in the National Plan and Provider Enumeration System (NPPES). The NPI Enumerator assists health care providers in taking the above actions and resolves any problems in the processing of those actions.

No-fault insurance is insurance that pays for health care services resulting from injury to you or damage to your property regardless of who is at fault for causing the accident.

The service:

• does not meet the requirements of a Medicare benefit category,
• Is statutorily excluded from coverage on ground other than 1862(a)(1), or
• is not reasonable and necessary under 1862 (a)(1).

Assets that are held by an entity but are not available to the entity. These are also amounts that, when collected, cannot be spent by the reporting entity.

A State or local government agency that receives records contained in a
system of records from a Federal agency to be used in a matching program.