Chapter 24

4. specified amount the insured must pay toward the charge for professional services rendered at the time of service.
5. to give up; forgo; waiving of a right or claim; a document outlining services that will not be covered by a patient’s insurance carrier and the cost associated with those services.
6. the person who has been insured; an insurance policyholder.
7. a federal program for providing health care coverage for individuals over the age of 65 or those who are disabled.
10. a list of predetermined payment amounts for professional services provided to patients.
11. private insurance to supplement Medicare benefits for payment of the deductible, co-payment, and coinsurance.
12. one who carries. Transports; with insurance, it’s the company that provides the policy.

1. one who regulates access to someone or something; in insurance, a primary care physician who coordinates the patient’s referral to specialists and hospital admissions.
2. an amount to be paid before insurance will pay.
3. occurring first in time, development, or sequence; earliest.
4. the dollar amount that converts the RVUs into a fee.
7. a joint funding program by federal and state governments (excluding Arizona) for the medical care of low-income patients on public assistance.
8. person entitled to benefits of an insurance policy. This term is most widely used by Medicare.
9. person covered under a subscriber’s insurance policy; refers to spouses and dependent children.