Emily Flanagan Chapter 3

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Across
  1. 1. practice's rules governing payment from patients
  2. 3. clinician who treats a patient face to face
  3. 6. patient who has seen a provider within the past three years
  4. 8. list of the diagnoses, procedures, and charges for a patient's visit
  5. 11. guideline that determines which parent has the primary insurance for a child
  6. 12. patient who has not seen a provider within the past three years
  7. 13. third payer on a claim
  8. 14. abbreviation for provider who agrees to provide medical services to a payer's policyholders according to a contract
  9. 15. physician who refers a patient to another physician
  10. 17. second payer on a claim
  11. 18. charge to a patient's account
  12. 19. authorization number given to the referred physician
Down
  1. 2. clinician who does not interact face to face with the patient
  2. 4. abbreviation for an explanation of how an insurance policy will pay if more than one policy applies
  3. 5. health plan that pays benefits first
  4. 7. the insured
  5. 9. unique number that identifies a patient
  6. 10. health plan that covers services not normally covered by a primary plan
  7. 16. policyholder or subscriber to a health plan or policy
  8. 20. abbreviation for the actions that ensure the provider receives teh maximum appropriate payment