HighMark- Exercise 1

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Across
  1. 1. Training docs on claim processing
  2. 4. An organization (such as a group practice, hospital, or pharmacy) that receives payment for medical services provided to a beneficiary by its affiliated health care practitioners
  3. 5. Log A place to put a note
  4. 8. An HRP environment
  5. 10. Physician who order the service.
  6. 11. ID A 14-digit number
  7. 12. Used to view previously paid/denied claims within HRP
Down
  1. 1. Beds, canes, crutches, test strips, etc.
  2. 2. Codes Codes used to describe tests, surgeries, evaluations, and any other medical procedure performed by a healthcare provider on a patient – these codes are more detailed and specific than HCPCS
  3. 3. The employee/member of the plan.
  4. 4. Provides member information such as member ID, supplier (place of service where rending physician is located), denial code and repair exception.
  5. 6. Profession or Institutional
  6. 7. Is a term to descript the member’s record who is the subscriber of the plan
  7. 9. An individual healthcare provider who is eligible to render services to a beneficiary.
  8. 13. Shows the different lines on a claim in HRP.