Claims

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Across
  1. 2. amount member pays before insurance pays
  2. 3. type of medical determination request
  3. 7. contracted amount paid by insurance
  4. 9. location of treatment
  5. 11. when care is provided
  6. 12. identifies medical service and procedures
Down
  1. 1. total amount of claim
  2. 2. identifies members symptoms
  3. 4. these providers are contracted with plan
  4. 5. process of evaluating and determining reimbursement amount of a healthcare claim
  5. 6. request to review denied claim
  6. 8. members percentage of contracted rate
  7. 10. fixed amount member pays