Customer Service Desk Reference

1234567891011
Across
  1. 3. Provides interpretation services
  2. 4. The financial status for a Provider who has been overpaid
  3. 5. The out-of-pocket maximum for the benefit plan year
  4. 9. A written recommendation from a PCM to receive health care services from another provider
  5. 10. a notice of payment sent as a companion to claim payments sent to providers
  6. 11. A web based tool that allows members and providers to view information online at their convenience
Down
  1. 1. An automated and comprehensive code auditing system
  2. 2. An insurance company recovers from a third party when the action resulting in medical expense (auto accident) was the fault of another person
  3. 3. A negotiation between JHHC and a non-par provider, which allows paying the non-provider at the in-network rate for services provided
  4. 6. Law passed by Congress in 1996 that helps to protect your rights to health coverage
  5. 7. A two digit alphanumeric code that is sometimes found at the end of CPT/HCPCS codes
  6. 8. A type of a health care payment in which a doctor or hospital is paid a fixed amount per patient for a prescribed period of time