Ch. 13 (DOM) Key Terms

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Across
  1. 2. the person recieving the payment of the benefit
  2. 6. a self funded program in which the individual patient or employee is reimbursed
  3. 9. submitting dual coverage claims according to the instructions provided by two insurance companies
  4. 10. insurance claims that are sent to the carrier through the internet
  5. 11. a form of contracted care
  6. 14. the amount typically charged by a dentist for procedures performed and the amount other dentists in the area charge
  7. 17. a detailed description showing payment or denial of a dental insurance claim
  8. 18. a request from the subscriber to pay benefits recieved to another person
  9. 20. the holder of the insurance policy
  10. 22. provided by the insurance company establishing a fixed dollar amount for each patient's dental services
  11. 25. the document signed by the patient giving permissions for the transfer of records
  12. 26. the portion of the fee that the patient pays before insurance starts its coverage
  13. 27. an estimate of hoe much the insurance company will pay for a specific treatment
  14. 28. a method used by insurance companies to determine which company is considered the primary carrier when a child is covered ny more than one policy
Down
  1. 1. the insured's signature kept on file by the office manager
  2. 3. the insurance company providing coverage
  3. 4. the financial relationship between the patient and the practice in which the patient pays the dentist's fees
  4. 5. a numeric code used to clarify why a procedure was done
  5. 7. a standard series of alphanumeric codes
  6. 8. a type of insurance plan where the patient can visit ant dentist they choose
  7. 12. a method of recording activities of the day on a ledger sheet
  8. 13. when both parties have insurance coverage
  9. 15. a statement of the individual patient's services and charges
  10. 16. the person or entity providing direct patient care
  11. 17. dental service or procedure that is not listed under the dental plan
  12. 19. a cost containment system
  13. 21. examination of a person's history of paying accounts
  14. 23. the portion of the health care charge that must be paid by the patient per the agreement with the insurance company
  15. 24. manual accounting system