Week 10 Crossword

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Across
  1. 1. The periodic payment of a specific sum of money to an insurance company, for which the insurer in return agrees to provide certain benefits
  2. 3. An itemized statement of services and costs from a healthcare facility submitted to the health (insurance) plan for payment
  3. 4. A written agreement between two parties, in which one party (the insurance company) agrees to pay another party (the patient) if certain specified circumstances occur
  4. 9. special symbols used to provide additional information about specific codes
  5. 10. The percentage of costs of a covered healthcare service the policyholder pays after the deductible has been paid
  6. 12. A process that requires the provider to submit documentation to the payer to show the service or treatment is medically needed, and the payer determines if the service or treatment is medically necessary and covered under the insurance plan
  7. 14. Payment arrangement where providers are paid a set amount for each enrolled patient per period of time
  8. 16. A set dollar amount that the policyholder must pay before the insurance company starts to pay for services
Down
  1. 2. The causes, origins, or reasons behind a disease, condition, or phenomenon
  2. 3. A set dollar amount that the policyholder must pay for each office visit
  3. 5. Poor, needy, impoverished
  4. 6. Collecting important information from the health record
  5. 7. A designated person who receives funds from an insurance policy
  6. 8. a letter, number, or combination of both that is added to a five-digit CPT code that are used to indicate a specific service or procedure
  7. 11. Suggest that something should not be used
  8. 13. Form completed by provider that indicates what services and/or procedures were done and the diagnosis code for the visit.
  9. 15. An abnormal condition resulting from a previous disease