VII. Glossary of Terms
Adjusted Amount—The discounted or repriced amount of a medical bill.
Administrator—The third-party company utilized by REDEEM HealthShare to process members' medical bills for discounting and eligibility determinations.
Amount Approved for Sharing—The portion of the adjusted amount that is eligible for sharing as per the program Guidelines.
Annual Unshareable Amount (AUA)—In a sharing ministry, each member is always responsible for all of their own medical expenses. The AUA is the dollar amount of eligible medical bills selected by a membership that are not shareable during a 12-month period in addition to any Co-Shares and prorations. The AUA 12-month period begins on the effective date for the membership and resets annually on the membership anniversary date.
Available Balance—The total sum that is available in a member's Share Account for sharing a new eligible medical bill and/or withdrawal. It is the Total Balance minus the Pending Balance minus the Restricted Balance.
Bill Approved for Sharing—An eligible medical bill that meets the criteria for sharing in the Guidelines and meets the other conditions for sharing, including whether the member's AUA has been met, and other sharing limits have not been exceeded.
Bill Status—References the processing stage/state of a specific medical need or bill.
Cancellation Date—The last day of the month that a membership of an individual or household ends due to the member's withdrawal or an administrative inactivation.
Charge Amount—The gross amount billed by the medical provider.
Debits & Sharing—The “Negative (-)” transactions debited out of the member's Share Account, which would be Miscellaneous Required Portion (i.e., debits), Optional Portion, and Share Portion.
Deposit—A function that enables a primary member to initiate an "on-demand" EFT from an external bank account or credit card to transfer the Total Share Amount Due specified in their Monthly Share Notice to the membership's Share Account.
Deposits & Credits—The “Positive (+)” transactions that are credited to the member's Share Account, such as EFT transfers (i.e., deposits) and Shared Funds Received (i.e., credits) that a member might receive to pay their eligible medical bill.
Effective Date—The first day of the month that the membership's current membership year begins. This date may be different from the membership date if a member has switched some elements of their membership.
Eligible for Sharing—Any testing, treatment, procedure, or service that meets the criteria for sharing as established in the Guidelines, including AUA and Co-Share requirements.
Eligible Medical Bill—An incurred medical bill that meets the criteria for sharing as established in the Guidelines. The shareable amount of an eligible medical bill may be reduced by discounts, fees, or other sources of payment.
Explanation of Sharing (EOS)—A notice sent to a member detailing the eligibility status of a bill, any discounted amounts, what portion of the remaining charge amount has been shared by REDEEM members, and any remaining amount that were not shared and remains to be paid by the member.
External Account—An existing bank account that is linked to the primary member's Share Account and is used to transfer via EFT the Total Share Amount Due into the Share Account each month.
Illegal Drugs—Any controlled substance which has not been legally prescribed and/or dispensed, or a prescription drug which is not used in the way it was prescribed.
Know Your Customer (KYC)—An automated query to ensure that an individual is eligible to open an account at a financial institution. This is a process required by US banking regulations.
Member—Any member of REDEEM HealthShare Ministry, including each family member participating in a member household.
Membership—The related family member, residing in a household, participating in REDEEM HealthShare Ministry through the same membership. May also be referred to as a “household membership.”
Membership Start Date—The date a member's participation in REDEEM HealthShare Ministry begins. Medical bills incurred on or after this date may be considered for sharing among members.
Membership Anniversary Date—The anniversary date of a member's participation in REDEEM HealthShare.
Monthly Share Deposit Amount—The sum of the Share Portion and Required Miscellaneous Portions published in the Share Notice.
Past Due Date—The day of the month that a Total Share Amount Due becomes past due.
Past Due Reminders—Notifications sent to delinquent members, reminding them that their Share Notice is past due.
Payment Reminders—Share Notice Reminders sent to members the Total Share Amount has not yet been paid.
Pending Balance—The sum of EFT(s) that have been initiated but have not yet been posted to the member's Share Account.
Permissions—System related auto-enabled functions (e.g., auto-share) that are set and managed by the primary member.
Pre-Existing—Pre-existing medical conditions are defined as conditions in which known signs, symptoms, testing, treatment, diagnosis, or use of medication occurred within 36 months prior to the membership start date. Routine or maintenance medications are considered treatment and are included in this definition.
Previous Balance—The sum of any past due, unpaid amounts published in the Share Notice.
Primary Member—An adult member that is the main contact for the household membership and Share Account owner.
Published Amount—The portion of the adjusted amount that is eligible for sharing and has been published/allocated to the member for sharing.
Received Date—The date that REDEEM HealthShare receives the medical bill and begins processing the bill for eligibility.
Required Miscellaneous Portion—An amount set by REDEEM HealthShare to fund certain activities, such as its administrative and program expenses.
Restricted Balance—The sum of funds that have been credited to the member's Share Account for the purpose of paying eligible medical bills. These funds have been designated for paying a particular medical bill; they are considered “restricted” because they cannot be diverted by the member and used for another purpose.
Service Date—The date that the member (patient) received services from the medical provider.
Share Account—The member-controlled virtual account that is linked to both the member's external account and the member's Sharing Account at America's Christian Credit Union and is used for all sharing transactions and activities.
Share Due Date—The day of the month by which the Total Share Amount Due must be transferred via EFT in full.
Share Notice—The written notification to a member that details the Total Share Amount Due for the month.
Share Notice Date—The day of the month that the Share Notice is published and distributed.
Share Payment (funding)—Transferring funds (Total Share Amount due) from a member's external account to their Share Account via electronic funds transfer (EFT).
Share Portion—The portion of the monthly share amount that is collected and used specifically for member-to-member sharing of eligible medical bills.
Shared Amount—The published amount that has been shared and collected in the member's Sharing Account.
Sharing (member-to-member transfers)—Moving funds from a sending member's Share Account to a receiving member's Virtual Bill Account.
Total Balance—The sum of the Pending Balance, Restricted Balance, and Available Balance in a member's Share Account.
Total Share Amount Due—The sum of the Monthly Share Contribution Amount (Share Portion and Required Miscellaneous Portion), any Optional Portions (manually configured by the member), Service Fee, and any past due amount (Previous Balance).
