Medical Billing Terminology

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Across
  1. 2. The amount a patient pays before insurance pays
  2. 5. If an insurance processed a claim incorrectly, they must do this
  3. 6. A set amount a patient must pay for any office visit
  4. 7. The percentage a patient is responsible for after their deductible has been met
  5. 8. If a claim is submitted incorrectly, we must do this
  6. 9. The insurance holder
  7. 13. ICD-10 codes are also known as ___ codes
  8. 15. The payer of last resort
Down
  1. 1. Patients are sometimes required to get a __ from their PCP for services to be covered
  2. 3. If an insurance denies because they believe that another insurance should pay, the patient must resolve the __ of benefits
  3. 4. A Medicare Advantage plan ___ Medicare
  4. 10. Code used to indicate services provided
  5. 11. The insurance sends this to the patient to show how much the patient owes
  6. 12. An insurance might deny a claim for an old visit due to __ filing
  7. 14. The person who is legally responsible for the balance