Across
- 3. money the insured pays to health plan for a policy
- 7. a condition of illness or disorder that existed before the insurance coverage
- 8. policyholder or guarantor to a health plan
- 12. computerized lifelong health care record with data from all sources
- 14. person who buys an insurance plan
- 16. a prepayment covering providers services for a plan member for a specific period
- 17. process of examining and processing a claim
- 18. company that converts nonstandard transactions and transmits the data to health plans, and reverse procedures
- 22. actions that improperly use another's resources
- 24. office visit between a patient and a medical professionalism
- 25. computerized record of one physician's encounters with a patient
- 26. intentional deceptive act to obtain a benefit
Down
- 1. health plan or program
- 2. amount the insured must pay for health care services before health plans payments begin
- 4. failure to use professional skill when giving medical services that results in injury or harm
- 5. services or care provided to keep patients healthy or prevent illness
- 6. portion of charges an insured person must pay for health care services after a deductible
- 9. order of a court for a party to appear and testify
- 10. document signed by a patient to permit release of medical information
- 11. method of converting a message into encoded text
- 13. actions that satisfy official requirements
- 14. person or entity that supplies medical or health services and bills for, or is paid for, the services in the normal course of business
- 15. a rule that determines which parent has the primary insurance for a child
- 19. standards of conduct based on moral principles
- 20. standards of professional behavior
- 21. impermissible use or disclosure of PHI that could pose significant risk to the affected person
- 23. health plan payments for covered services