Ch. 13 (DOM) Key Terms

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Across
  1. 7. a request from the subscriber to pay benefits recieved to another person
  2. 8. insurance claims that are sent to the carrier through the internet
  3. 9. a method used by insurance companies to determine which company is considered the primary carrier when a child is covered ny more than one policy
  4. 11. a statement of the individual patient's services and charges
  5. 14. a numeric code used to clarify why a procedure was done
  6. 15. the insured's signature kept on file by the office manager
  7. 16. the portion of the fee that the patient pays before insurance starts its coverage
  8. 17. the document signed by the patient giving permissions for the transfer of records
  9. 19. dental service or procedure that is not listed under the dental plan
  10. 23. the insurance company providing coverage
  11. 25. the amount typically charged by a dentist for procedures performed and the amount other dentists in the area charge
  12. 27. when both parties have insurance coverage
  13. 28. the portion of the health care charge that must be paid by the patient per the agreement with the insurance company
  14. 29. provided by the insurance company establishing a fixed dollar amount for each patient's dental services
Down
  1. 1. the holder of the insurance policy
  2. 2. a detailed description showing payment or denial of a dental insurance claim
  3. 3. the person or entity providing direct patient care
  4. 4. a type of insurance plan where the patient can visit ant dentist they choose
  5. 5. a standard series of alphanumeric codes
  6. 6. a self funded program in which the individual patient or employee is reimbursed
  7. 10. submitting dual coverage claims according to the instructions provided by two insurance companies
  8. 12. the financial relationship between the patient and the practice in which the patient pays the dentist's fees
  9. 13. a cost containment system
  10. 18. the person recieving the payment of the benefit
  11. 20. a method of recording activities of the day on a ledger sheet
  12. 21. examination of a person's history of paying accounts
  13. 22. an estimate of hoe much the insurance company will pay for a specific treatment
  14. 24. manual accounting system
  15. 26. a form of contracted care