Across
- 2. amount member pays before insurance pays
- 3. type of medical determination request
- 7. contracted amount paid by insurance
- 9. location of treatment
- 11. when care is provided
- 12. identifies medical service and procedures
Down
- 1. total amount of claim
- 2. identifies members symptoms
- 4. these providers are contracted with plan
- 5. process of evaluating and determining reimbursement amount of a healthcare claim
- 6. request to review denied claim
- 8. members percentage of contracted rate
- 10. fixed amount member pays