EPIC Billing Terms

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Across
  1. 4. op
  2. 6. Diagnosis Related Group
  3. 7. refusal of an insurance company or carrier to honor a request by an individual (or his or her provider) to pay for healthcare services obtained from a healthcare professional.
  4. 8. current procedural Terminology
  5. 9. similar in format to the CMS 1500 (See “CMS 1500”), this is another one of the most common claim forms.
  6. 12. Date of Birth
  7. 14. A type of insurance arrangement between the payer and the patient that divides the payment for medical services by percentage.
  8. 16. co-ordination of Benefits
  9. 19. of Appeals loa
  10. 21. hospital
  11. 22. ASSIGNMENT OF BENEFITS
  12. 23. dos
  13. 25. denial
Down
  1. 1. amount The amount an insurance company will pay to reimburse a healthcare service or procedure.
  2. 2. The process by which a patient or provider attempts to persuade an insurance payer to pay for more of a medical claim.
  3. 3. is the explanation of a payment for one or more claims sent by a payer to a provider.
  4. 5. contractual Adjustment
  5. 6. reason codes is standard messages, which are used to describe or provide information to the medical provider or patient by insurance companies regarding why the claims were denied
  6. 10. blue Cross Blue Shield of Texas
  7. 11. ip
  8. 13. blue Cross Blue Shield of New Jersey
  9. 15. EXPLANATION OF BENEFITS
  10. 17. Electronic Funds Transfer
  11. 18. Health Insurance Portability and Accountability Act
  12. 20. is one of the largest providers of health information technology, used primarily by large U.S. hospitals and health systems to access, organize, store and share electronic medical record
  13. 23. Document Control Number
  14. 24. CLEARINGHOUSE