Chapter 27

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Across
  1. 3. A claim that is automatically forwarded from Medicare to a secondary insurer after Medicare has paid its portion of a service
  2. 4. The standard claim form designed by the Centers for Medicare and Medicaid Services to submit physician services for third-party payment
  3. 6. a printed description of the benefits provided by the insurer to the beneficiary
  4. 8. One who carriers; transports; with insurance
  5. 10. claim scrubbing ensures that claims are correctly coded before being sent to the insurance company
  6. 11. exists when a patient is covered under more than one insurance plan
Down
  1. 1. a flat file format used to transmit or transport claims
  2. 2. Computer software designed for monitoring insurance claims
  3. 5. document sent from the insurance company to the practice with the approved amount and payment for services
  4. 7. The name of the standard unique health identifier for health care providers
  5. 9. To pay back or compensate for money spent, or losses or damages incurred