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Revenue Cycle Terminology

Across
Hospitals, physicians, pharmacies, and long term care facilities are examples of
Individual who initiates healthcare coverage through an employer, private health plan, or other payer
Is the insurer or entity with third priority for payment of a bill
Beneficiary pays specific amount for a specific service, which is usually paid at the time of service
Is used to describe diagnostic or therapeutic services, such as laboratory, radiology, pharmacy, or physical therapy, performed by departments that do not have inpatient beds
Person who depends on someone else for support, such as a child or elderly parent
Down
Person who is responsible for payment of the bill
When Medicare is not primary
Who receives healthcare services without being admitted
Amount the insurer designates as the Patient's responsibility and usually must be paid before the insurance benefits are paid
Helps pay for doctors' services, outpatient hospital care, durable medical equipment,