Ch 11 &12 Crossword

1. uninformed service member whose status makes it possible for other family members to be eligible for Tricare services
5. the amount of the provider charges for what the patient is responsible
6. cap, annual limit on medical expenses that an individual or family pay in one year
9. programs that provide reimbursement for lost income that occurs due to a disability that prevents individual from working whether injury is work related or not
12. Injury protection, insurance coverage for medical expenses and other expenses related to MVA
13. Tricare, cannot bill more than 115% of allowable charges
14. duty service member, receives priority at military treatment facilities
15. of Defense's health insurance plan for military personnel and their family

1. Program funded by worker's payroll deductions and matching employer contributions that provides compensation for lost wages due to disability
2. disease or illness that develops as result of workplace conditions or activities
3. documents containing information about patient, employer and injury or illness that must be filed by employer, often within 24 hours of incident
4. covers privacy rules for Tricare healthcare program
7. minimal, slight, moderate, severe on a work comp claim
8. a physician must write this before an injured employee can return to work
10. Occupational Safety and Health Admin where employee files complaint if they believe work environment is dangerous
11. Report, documents filed with insurance carrier when there is a substantial change in patients condition that affects the status of occupational illness