Insurance 101

1. Advantage, Replacement Policy or Medicare Part C: A type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits, in addition to RX and dental benefits
3. Federally administered health insurance program for adults over 65, patients with disabilities and / or End Stage Renal Disease
4. Third Party Liability (ex: workers compensation)
5. The patients share of the costs of a covered health care service, calculated as a percentage
8. Marian Smith is the
10. A child or other individual for whom a parent, relative, or other person may claim a personal exemption tax deduction and is eligible for health benefits under the subscribers health insurance policy
13. : Electronic Data Interchange
14. Explanation of Benefits
16. The amount the patient has to pay out-of-pocket for expenses before the insurance company will cover the remaining costs Deductible obligations exclude copayments

1. State administered health insurance program for low income or disabled patients
2. The process of paying claims submitted or denying them after comparing claims to the benefit or coverage requirements
6. The policy owner The person who pays health insurance premiums and / or is eligible for group health insurance benefits
7. Electronic Remittance Advice
9. Coordination of Benefits
11. Prepaid Medical Assistance Programs
12. Electronic Claim Submission
15. : Park Dental's Clearinghouse
17. Electronic Funds Transfer