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