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EAPEmployee Assistance Program
ECFExtended Care Facility
Effective DateThe date on which health insurance coverage begins.
Elective SurgerySurgery for a condition that is not considered an emergency.
EligibilityInsured person's qualification for coverage as an eligible member under the contract at the time health care is rendered.
Eligibility PeriodPeriod of time before a group member becomes eligible for benefits. This is defined by each group.
Emergency CareCare for patients with severe or life-threatening conditions that require immediate intervention.
Emergency SurgeryProcedure that must be performed in a situation that is serious or life-threatening for the patient.
EnrolleeAn individual who is enrolled and eligible for coverage under a health plan contract. Also known as the "insured."
EnrollmentProcess by which a person completes an enrollment form or application in order to become a member of health insurance coverage under a contract.
EOBA statement a member receives that describes how a claim was processed for benefits, including the member's liability for services rendered.
EOMBExplanation of Medicare Benefits
ERISAEmployee Retirement Income Security Act
ER/EDEmergency Room/Emergency Department
Evidence of Coverage (EOC)A summary detailing the terms, conditions and limitations of your group coverage.
ExclusionSpecific circumstances or services listed in the contract for which benefits will not be provided.
Experimental ProceduresAny service or supply that is in the developmental stage or is in the process of human or animal testing.
Expiration Date555-555-0199@example.com
E&B/EABEnrollment and Billing
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