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