Week 2 Billing Vocab

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Across
  1. 2. A document sent by the insurance company to the provider and the patient explaining the allowed charge amount, the amount reimbursed for services, and the patient's financial responsibilities.
  2. 4. The primary care provider, who is in charge of a patient's treatment. Additional treatment, such as referrals to a specialist, must be approved by this person.
  3. 5. A payment arrangement for healthcare providers.
  4. 6. 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.
  5. 7. An order from a primary care provider for the patient to see a specialist or to get certain medical services.
  6. 9. Poor, needy, impoverished.
  7. 10. A designated person who receives funds from an insurance policy.
Down
  1. 1. A formal request for payment from an insurance company for services provided.
  2. 3. A process required by some insurance carriers in which the provider obtains permission to perform certain procedures or services.
  3. 8. The amount paid or to be paid by the policyholder for coverage under the contract, usually in periodic installments.