Ch 13 Crossword

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Across
  1. 3. payer authorization for elective hospital based services and outpatient services
  2. 6. paper claim for physician services
  3. 8. insurance policy holder, guarantor of claim and possibly the patient
  4. 10. usually a PPO plan that requires large amount to be paid before benefits begin
  5. 12. entity sending claim to payer
  6. 14. modifies an insurance contract
Down
  1. 1. national provider identifier
  2. 2. a discounted fee for service
  3. 4. health plans where payment arrives faster than under other types of plans
  4. 5. member plans that offer all major types of health plans
  5. 7. data entry area upper right part of CMA 1500 form
  6. 9. transmission method not commonly used to send claims
  7. 11. period when employee may choose their plan in employer sponsored health plans
  8. 13. in a Blue Card program this is the providers local BCBS plan