Insurance Terms

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Across
  1. 3. specific set of benefits from that payor
  2. 4. the insuring entity
  3. 6. more than one insurance plan
  4. 8. percentage of the charge or allowed charge
  5. 9. Gatekeeper
  6. 11. annual cycle when the insurance is effective
  7. 13. termination of insurance coverage
  8. 15. the policy holder
  9. 16. date when coverage begins
  10. 17. financially responsible for patient
  11. 18. often referred to as insured person
Down
  1. 1. EOB
  2. 2. "copay"
  3. 4. PCP not required for care
  4. 5. must be met before services are covered at 100%
  5. 7. cannot go outside of network for care
  6. 10. can be a spouse or child
  7. 11. refer to services covered by plan
  8. 12. public or private
  9. 14. Authorization to see a specialist