Benefits and Billing Crossword

3. The percentage paid by patient for services rendered
8. A type of insurance policy that requires the patient to see their primary care physician and obtain a referral prior to making an appointment with a specialist.
9. The flat rate patient pays for services rendered
11. A designated dollar amount insurance will pay towards a particular service.
13. Sent to the patient by their insurance company explaining the breakdown of services and the estimation of how the claim should process.
14. Refers to the large Insurance branch such as Cigna, Aetna, UHC, etc.
15. Refers to the smaller company that manages the benefits such as UMR, Multiplan, GPA, etc.
17. A type of insurance policy that does NOT require a referral for the patient to see a specialist
18. Set fee insurance allows for each service provided.
20. Airrosti directly bills the insurance company and is a contracted provider
21. Funds patient can use to help pay for medical expenses.
22. Codes used on the claims to describe the services performed.
23. The contractual payout agreed to by the carrier for the policy holder.

1. The start date of a policy
2. Funds that are automatically deducted to cover a medical expense
4. The highest dollar amount the patient must accumulate before insurance covers costs at 100%.
5. Term used to identify if a patient is covered through multiple carriers. It informs the insurance which policy is processing as primary, secondary, etc.
6. Responsible party for payment
7. Airrosti has contracts set up with specific employers to allow their employees to utilize a better benefit than provided through the insurance.
10. The dollar amount patient must accumulate before insurance will share the costs for treatment
12. An allotted visit amount insurance will allow for a particular service
16. Airrosti directly bills the insurance company and is a non-contracted provider
19. A form sent to the insurance carrier asking for payment based on services rendered.