April Rainmakers Showers

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Across
  1. 2. Where the payer will not make a payment on a procedure or a claim citing various items such as medical necessity or COB
  2. 4. a strong spring breeze needed to go fly a ____
  3. 7. Part C payer (2 words no space)
  4. 9. Calling the payer ahead of time to have a procedure or inpatient stay approved
  5. 10. These bloom in Spring
  6. 12. left in the yard by a rabbit (2 words no space)
Down
  1. 1. A payment received in addition to the contracted rate when the payer does not make a payment according to the contract
  2. 3. known as a TPL (3 words no space)
  3. 5. American past time sport that starts in the spring
  4. 6. The term used when the payment received for services rendered us less than expected based on contract language
  5. 8. April _______ brings May Flowers
  6. 11. Name of the season of March, April and May