2009-04-13T20:36:01Z (see National Drug Code) 80 2009-04-13T20:36:01Z 2009-04-13T20:36:01Z is the person through whom a policy is secured. For an employer-sponsored plan, that named insured would be the employee. 81 2009-04-13T20:36:01Z 2009-04-13T20:36:01Z is an identifying code unique to each drug and its dosage. It has a standardized XXXX-XXXX-XX format. 82 2009-04-13T20:36:01Z 2009-04-13T20:36:01Z is the price your insurance company has contracted and negotiated with healthcare providers to accept as payment in full for services, treatments, and procedures. Providers that contract with your insurance company to accept a negotiated rate are considered "in-network" providers (see related Allowed Amount). 83 2009-06-17T15:02:45Z 2009-04-13T20:36:01Z is the amount by which a provider's bill is adjusted as a result of a negotiated rate covered under a negotiated capitated contract between the provider and the insurer. The network discount term often appears on an Explanation of Benefits, but it does not appear on all since those forms vary by insurer. Insurers use many variations on this term including Adjustment, etc. 84 2009-04-13T20:36:01Z 2009-04-13T20:36:01Z is healthcare services that are needed but not considered an emergency. 85 2009-04-13T20:36:01Z