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Module 5: Vocabulary

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Across
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Another name for insurance company
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Healthcare providers who do not have a managed care contract with an individual's insurance company are considered this
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Department in patient revenue that works the hospital claims and hospital rejections
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The process of determining which of two or more insurance policies will have the primary responsibility of paying a claim
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The next step in the insurance company process after a claim has been rejected
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The patient revenue department that places inpatients into beds on the floors
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Healthcare providers who have a managed care contract with an insurance plan
Down
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Written approval from the insurance carrier to receive medical services
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When an insurance company pays a claim it is also called this
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The annual amount that must be paid by the insured before the insurance company pays for services
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Insurance plan that allows plan participants relative freedom to choose the doctors and hospitals they want to visit whether in or out of network
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Mnemonic for the department that works all physician invoices
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Managed care plan in which a patient must chose a primary care physician and get referral for any outside services
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The mnemonic of the document the insurance carrier uses to inform the insured outcome of the adjudication process