Ch. 13 (DOM) Key Terms

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