Glossary
J
|
K
|
|||||||||||
N
|
Q
|
V
|
X
|
Y
|
Term |
Definition |
||
The first line of the enrollee’s mailing address. |
|||
Address2 box |
The second line of the enrollee’s mailing address. |
||
This button initiates the process of returning to the previous page. |
|||
Benefit Amount |
The benefit amount payable for life, supplement life, or AD&D coverage. |
||
By Employee ID radio button |
This button is used to search for an employee when his/her Employee ID is available. |
||
This button is used to search for an employee by last name. The search will return all individuals with the designated name. The search can be narrowed by using a first initial with the last name. |
|||
This button initiates the cancellation of the search, selection, or data entry activity you have performed and returns you to the previous page. |
|||
City box |
The city in the enrollee’s mailing address. |
||
Claim Address - Address 1 |
The first line of the other insurance company’s mailing address. |
||
Claim Address - Address 2 |
The second line of the other insurance company’s mailing address, when applicable. |
||
Claim Address - City |
The name of the city in which the other insurance company’s mailing address is located. |
||
Claim Address - Insurance Company box |
The name of the other insurance company. Use abbreviations for company names longer than 30 characters. |
||
Claim Address - State |
The name of the state in which the other insurance company’s mailing address is located. |
||
Claim Address - Zip |
The zip code in which the other insurance company’s mailing address is located. The five-digit zip code information is required. The four-digit extension information is optional. |
||
The id number of the specific benefit plan associated with the product. (Not applicable to all groups) |
|||
Client Master Administrator |
The designated user at the customer or client site who isresponsible for creating and maintaining all user profiles including resetting passwords. |
||
COB is the abbreviation for coordination of benefits, which is the coordination of claim benefits when a member is covered by two or more medical insurance plans. |
|||
COB Information - Medical checkbox |
The checkbox used to indicate that the enrollee’s other insurance is a Medical plan. |
||
COB Information - Medicare checkbox |
The checkbox used to indicate that the enrollee’s other insurance coverage is a Medicare plan. |
||
The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) provides employees and their covered dependents the right to continue group health insurance coverage if they have experienced a "qualifying event" as described in this document. |
|||
The date on which the COBRA coverage became effective |
|||
The reason that best describes why the enrollee is eligible for COBRA coverage. |
|||
The unique number assigned to identify the employee within company. (Not applicable for all employees) |
|||
Continue button |
This button initiates a continuation of the next processing step. |
||
Coverage Wait Begin Date |
The date on which the coverage wait period begins. (Not applicable for all groups) |
||
Coverage Wait Period |
The length of time an enrollee must wait to qualify for benefit coverage. (Not applicable for all groups) |
||
The enrollee’s date of birth. |
|||
Demographic information consists of the basic geographic and contact data that is necessary to administer an enrollee’s benefit plan. Required fields* must be completed for each enrollee. |
|||
A dependent is a person eligible for coverage under an employee benefits plan because of that person's relationship to an employee. Spouses, children, stepchildren, and adopted children are often eligible for dependent coverage. |
|||
The identifier of a health plan's products that are sometimes used synonymously with "site." Divisions are identified by a three-letter code. |
|||
Choices or options are displayed by clicking a designated option. This causes the menu or field options to drop down from that position and be displayed. Items are selected by highlighting the line in the menu or list of field options and either clicking it or letting go of the mouse button. |
|||
The date coverage is reinstated. |
|||
The individual who meets the requirements for benefit coverage specified in a contract with employers. This individual may also be referred to as the policyholder, subscriber, or contract holder for the benefit coverage. In most cases it is the person employed by the company but in some situations a spouse may be entered as an Employee. |
|||
The unique number assigned to identify the employee. This number can be used to perform a search for an employee record and is displayed on various pages in Employer eServices. Depending on your agreement with UnitedHealth Group, the Employee ID may be a Social Security Number or any 9-digit number you generate. |
|||
Employee ID Search |
One of two options for searching for an employee record. Enter the first nine digits of the employee's Employee ID. The other search option is by Last Name. |
||
Employee Search |
Process used to identify the employee associated with the selected group. You can search by Employee ID or Last name. |
||
Process of encoding data for security purposes. |
|||
An individual included in the benefit coverage contract with an employer. This includes the employee and all their dependents. |
|||
Button shown in the online Provider Directory that allows you to designate a specific type of search (by zip code, product or provider). |
|||
Explanation of Benefits |
|||
The enrollee’s first name. |
|||
The appropriate gender indicator for the enrollee. |
|||
A collection of individuals linked together for the purpose of treating them as a single entity with the same set of benefits. |
|||
Group Select |
Allows users with access to 20 or more groups to select a sub-set of groups. Working with a small number of groups is more convenient and improves the performance or response time of Employer eServices transactions. If your company has access to 20 or more groups, the Group Select option will display on the first menu bar. Group Select may be selected at any time from the eServices menu. See also Select Group |
||
This button initiates the opening of a new browser containing the Online Help tool contents in the site. The Help topic menu will automatically display the detail topics associated with the Enrollment function. |
|||
Home Phone |
The enrollee’s home telephone number. |
||
A unique number, often the Social Security Number, used to identify the enrollee. The number can be used to perform a search by Employee ID and is displayed on various pages in Employer eServices. |
|||
The language used for the printing of EOB (Explanation of Benefits). |
|||
The enrollee’s last name. |
|||
Last Updated |
The date on which the enrollee’s records were last updated. This is a system generated date for display only and cannot be modified. |
||
Life Beneficiary 1 |
The full name of the primary individual who will receive payment of life benefits. |
||
Life Beneficiary 2 |
The full name of the secondary individual who will receive payment of life benefits. |
||
The employee’s marital status. |
|||
Medicare Effective Date |
The date Medicare coverage becomes effective. |
||
Medicare Expires |
The date Medicare coverage expires. |
||
Medicare Number |
The policyholder's Medicare identification number. |
||
Member |
See Enrollee. |
||
MI (Middle Initial) |
Enrollee's middle initial. |
||
MPIN |
13 Digit MetraHealth Provider Identification Number, which is the unique provider prime index number assigned to each provider. |
||
The date the employee was hired. |
|||
The date on which the coverage becomes active for the enrollee. This date should not be modified when an employee transfers from one division to another within the company. Note: If you need to modify this date for a pre-existing condition, contact your Eligibility Representative at 1-800-651-5465. |
|||
Insurance other than provided by UnitedHealth Group. |
|||
Other Insurance - City |
The name of the city of the other insurance company identified on the Other Insurance page. |
||
Other insurance - Insurance Company |
The name of the insurance company identified on the Other Insurance page. |
||
Other Insurance - Zip |
The zip of the city of the other insurance company identified on the Other Insurance page. The five-digit zip code information is required. The four-digit extension information is optional. |
||
Other Insurance- Address |
The address of the other insurance company identified on the Other Insurance page. |
||
Other Insurance Radio Button |
The checkbox used to indicate that the enrollee’s has other insurance coverage. |
||
The primary care physician which is a participating provider (usually with a specialty in family or general practice, internal medicine, OB/GYN, or pediatrics) who acts as the first contact for medical services. |
|||
Policy Effective Date |
The date on which the other insurance policy was effective. |
||
Policyholder Information – Date of Birth |
The birth date of the policyholder of the other insurance policy. |
||
Policyholder Information – Medicare Effective Date |
The date on which Medicare coverage is effective. This field is dynamically displayed and data entry is required when the Medicare box is selected. |
||
Policyholder Information – Medicare Number |
The policyholder's Medicare identification number. This field is dynamically displayed and data entry is required when the Medicare box is selected. |
||
Policyholder Information – Name |
The first and last name of the policyholder of the other insurance policy. |
||
Policyholder Information – Policy Effective Date |
The date on which the other insurance policy was effective. |
||
Policyholder Information – Policy Expires |
Enter or view the date on which the other insurance policy expires. |
||
Policyholder Information – Policy ID/Group Number |
The policy number or group number of the other insurance coverage. |
||
Print button |
This button initiates the printing of a snapshot of the enrollee’s information as displayed on the enrollment pages. |
||
The type of insurance coverage. |
|||
Product Effective Date |
The date the benefit plan coverage is effective. |
||
Product History |
This link (will display only as needed) and allows you to display the product history consisting of up to 18 previous selections when the Current Product link is displayed on the page. |
||
Product Select Checkbox |
The checkbox used to indicate enrollment in the benefit plan. |
||
Used to identify desired option. |
|||
The enrollee’s relationship to the employee. |
|||
Req’d Indicator |
The field identifying a product as being required (Y) or optional (N). (This is a display field only) |
||
This button initiates the process of searching for an employee. |
|||
Select Enrollee field |
Displays names matching the search criteria (by Employee ID or Last Name) entered. Click the desired name to select the enrollee. |
||
Select Group |
Part of the process used to create or locate an enrollee’s record by identifying the group that is, or will be, associated with the enrollee. Available groups are listed in the Select Group field. See also Group Select. |
||
Select Group field |
Displays available groups. |
||
Services Dates |
Range of dates to identify the time period medical service was provided. The range may be one day in length or longer. |
||
Continue |
Shift+CTRL+O |
Move to next page |
|
Help |
Shift+CTRL+J |
Display help |
|
|
Shift+CTRL+P |
Print record |
|
Search |
Shift+CTRL+E |
Perform search with selected criteria |
|
Submit |
Shift+CTRL+S |
Save record |
|
SSN |
The enrollee’s social security number. |
||
State list |
The state in which the enrollee lives. When the foreign address box is selected, this field will not display. Not applicable for enrollees with a foreign address. |
||
Submit button |
This button initiates the process of saving an enrollment record. |
||
The date on which all coverages and primary physician associations terminate for the enrollee. This is a display only field on demographic page. |
|||
The date the coverage is terminated. |
|||
The reason coverage is terminated. |
|||
Transaction Message |
Message that appears when an Employer eServices function has been successfully completed. |
||
Uniform Resource Locator - the information you add in the address field on your browser. |
|||
The date on which the coverage wait begin date begins. (Not applicable to all groups.) |
|||
Wait Period |
The length of time an enrollee must wait to qualify for benefit coverage. (Not applicable to all groups.) |
||
Wild Card search |
Search option that uses a partial word or number followed by an asterisk (*). It is very helpful when you have only partial information or wish to identify information with a common characteristic. |
||
Work Phone |
The employee’s work telephone number, including area code, if applicable. |
||
The zip code in the enrollees address. The five-digit zip code information is required. The four-digit extension information is optional. |