Healthcare Crossword

1. A formal communication from a physician or other registered health-care professional to a pharmacist, authorizing them to dispense a specific prescription drug for a specific patient.
4. An amount of money that an insured person must pay annually before health services are covered by the insurance plan.
6. A list of covered medications to be used by network providers as per your plan
7. The use of technology to deliver clinical care at a distance.
8. The person or entity submitting a claim.
13. The process of evaluating an application for health insurance coverage by examining the applicant's medical history.
14. The method of precisely collecting and calculating total claim dollar values against plan deductibles and benefit limits.
15. A formal process that utilizes an established series of guidelines to ensure that patients receive the highest level of care from healthcare professionals who have undergone the most stringent scrutiny regarding their ability to practice medicine
16. A specified amount that a member must pay out-of-pocket for a specified service at the time the service is rendered.

2. The amount paid by insurance for health care services.
3. Verification from a patient's insurance carrier that a procedure is covered by the patient's insurance and/or agreement, after review, that the test or procedure is medically appropriate.
5. A a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.
9. The government insurance program for low-income individuals and families that is funded both by the federal government and by each individual state.
10. The process through which healthcare providers apply to be included in a health insurance network.
11. a person or organization that is entitled to receive benefits
12. The directing of a patient to a specialist physician by the primary care provider
15. A federal law which requires each plan to allow employees and certain dependents to continue their group coverage for a stated period of time following a qualifying event that causes the loss of group health coverage.