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Insurance Billing

Across
Health benefit program for low-income patients
Federal program for people over the age of 65
____ conditions are conditions the patient has been diagnosed with before coverage with a new insurance plan
Provides health insurance benefits for current and retired Military personnel
Contacting patient's insurance to obtain permission for them to receive prescribed procedures
___ Claim is one that was processed and found to be ineligible for payment
Max amount the patient must pay out-of-pocket for the deductible, copay, and coins. After the amount is reached insurance pays 100% ( 2 words)
Individuals who qualify for insurance program
Issued to the health care provider once a claim has been processed and a check is sent (3 words)
HMO stands for ____ ____ organization
Monetary amount patients must pay to the provider for health care services before insurance benefits begin to pay
Fixed dollar amounts that patients pay at the time of service
Affordable Care Act is also known as ___
Billing patient for the difference of physician's actual charge and the allowed amount by insurance (2 words)
Down
____ procedures are not emergencies but may benefit patient
Covers employees injured in the workplace (2 words)
Family members allowed to be included on insurance plan
Amount policy holder pays to insurance carrier (monthly payment)
___ ___ ___ plans offer primary HMO provider network, and secondary PPO provider network
PPO stands for ___ ____ organization
Pay for the loss experienced by another person
Fixed percentage of charges that patients pay (ex. 80/20)
____ income insurance reimburses a patient for lost wages due to a non-work related disability
___ covers members only when they seek care from providers that have contract with them