Across
- 3. payer authorization for elective hospital based services and outpatient services
- 6. paper claim for physician services
- 8. insurance policy holder, guarantor of claim and possibly the patient
- 10. usually a PPO plan that requires large amount to be paid before benefits begin
- 12. entity sending claim to payer
- 14. modifies an insurance contract
Down
- 1. national provider identifier
- 2. a discounted fee for service
- 4. health plans where payment arrives faster than under other types of plans
- 5. member plans that offer all major types of health plans
- 7. data entry area upper right part of CMA 1500 form
- 9. transmission method not commonly used to send claims
- 11. period when employee may choose their plan in employer sponsored health plans
- 13. in a Blue Card program this is the providers local BCBS plan