Insurance Billing

2. Medicare plan that covers Physicians office visits
5. Amount patient pays before insurance begins paying
7. Patient's percentage share after deductible
12. National Provider Identification
13. Person covered under insurance plan
15. Third party that scrubs/transmits claims
18. Advance approval for certain services
20. Medicare plan that covers Prescription drug services
22. Written authorization from a primary care provider to see a specialist
23. Contract outlining terms and coverage between insured and insurer
24. Medicare plan that covers Inpatient hospital charges
25. If the ICD10 codes and the CPT codes do not match the claim will not show ___.

1. Fixed monthly payment made to a provider for each enrolled patient
3. Federal insurance for 65+ or disabled
4. Assigns identification number to healthcare providers
6. Doctor or other healthcare professional giving services
7. Request for payment sent to insurer
8. Group of approved/contracted providers
9. Fixed amount paid at time of service
10. Insurance for low-income/ medically indigent
11. Statement showing how insurance processed the claim
14. Patient signs an _____ of benefits form so that the physician will receive payment for services directly
16. Proof that coverage is active
17. Policy A policy that covers a number of people under a single contract issued to the employer
19. Review of claims/billing accuracy
21. Military insurance for dependents/retirees
22. Medicare's physician payment statement