AHLT235 Chapter 3 Key Terms

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Across
  1. 4. patient, patient who does not have insurance
  2. 6. provider (PAR) ), provider who does take an insurance plan
  3. 7. insurance, first insurance plan which covers the cost of service
  4. 8. form, completed by a provider to summarize billing information for a patient’s visit.
  5. 12. insurance, after the first insurance covers the cost of service, bill is sent to
  6. 14. person who holds the insurance policy
  7. 16. authorization number, once a service has been approved, this is assigned.
  8. 17. of benefits, Physicians usually submit claims for patients and receive payments directly from the payers
Down
  1. 1. provider (nonPAR), provider who does not take an insurance plan
  2. 2. person financially responsible to pay
  3. 3. information form, patient demographic information is recorded on this by the patient
  4. 5. rule, the parent whose day of birth is earlier in the calendar year is considered primary
  5. 9. of benefits (COB), refers to an exchange of information between payers when a patient has more than one health plan
  6. 10. patient (EP), patient has been seen by the provider in the last 2 years.
  7. 11. physician, physician who recommends that a patient sees another provider
  8. 13. assignment, provider has agreed to accept the allowed charge as full payment
  9. 15. patient (NP), patient has not been seen by the provider in the last 3 years