veronica torres

4. third payer on a claim
5. practice's rules governing payment from patients
8. secon payer on a claim
11. number assigned to a hipaa 270 electronic transaction
12. provider who does not join a particular health plan
15. guideline that determines which patient has the primary insurance for a child
17. health plan that pays benefits first
18. clinician who treats a patient face-to-face
19. movement of monies into or out of a business
20. patient who has seen a provider within the past three years

1. patient who comes in for the first time
2. identifying code assigned when preauthorization is required
3. person who is the insurance policyholder for a patient
6. explains how an insurance policy will pay if more than one policy applies
7. policyholder or subscriber to a health plan or policy
9. actions that ensure the provider receives the maximum appropriate payment
10. clinician who does not interact face-to-face
13. provider who agrees to provide medical services to a payer's policyholders according to a contract
14. coordinationof benefits rule for a child insured under both parents' plan
16. unique number that identifies a patient
17. payment made during checkout based on an estimate