BO - Crossword Labs

1. A fixed amount a patient pays for covered healthcare services at the time of care.
3. Federal health insurance for people 65 and older, and some younger people with disabilities.
7. The healthcare professional or facility delivering care, such as a doctor, clinic, or hospital.
8. A document listing healthcare charges, payments, insurance adjustments, and the remaining balance due.
9. of Benefits A document sent by insurance explaining how a claim was processed, showing what was paid and what the patient may owe.
11. A written order from a primary care doctor for a patient to see a specialist or receive certain services.
12. The process of sending invoices to patients or insurance companies for services provided.
13. The amount a patient owes after insurance has processed and paid its portion of a claim.

2. Permission from an insurance company for a healthcare service before it is performed to guarantee coverage.
4. The total amount a patient must pay out-of-pocket before insurance begins to cover services.
5. A formal request asking an insurance company to review and possibly overturn a denied or underpaid claim.
6. The individual receiving medical care or treatment.
10. A state and federal program providing health coverage to people with low income or limited resources.
14. A request for payment submitted to an insurance company for services provided.