July Puzzle

4. the predetermined limits used by insurance carriers to cap the maximum amount they will pay for a service based on their contract with you
8. Prior approval for a specialist or non-emergency health care services
10. the most reliable way to check eye pressure
11. federal program that provides health benefits to active duty military personnel, retirees, and their dependents or survivors
12. organization a network of physicians and hospitals that agree to provide health services for prearranged fees
14. name of tool used to measure amount of proptosis
15. the portion of your health care expenses that you must pay before your insurance applies
16. two digit code applied to CPT code to indicate service is affected by a circumstance
17. name of sticker prism that can be added to glasses to help with diplopia

1. insured participants in a managed care program
2. condition in which vision does not develop normally in an eye and brain is hardwired with limited visual potential
3. portion of incurred medical expenses (usually fixed percentage) the patient must pay out of pocket
5. helps pay for physician bills, outpatient hospital care and other medical services
6. the clinics, hospitals, medical groups, physicians and others that make up a managed care health plan
7. a record of account status sent to patients monthly to advise them of the previous period's transactions and activity on the account
9. intersection point at which the lens has no prism power
13. cloudiness of the posterior capsule after cataract surgery (abbreviation)