Across
- 2. A fixed percentage that you pay each time for a certain service or product.
- 4. A question from a Member or Provider
- 7. An investigative process to see if a benefit will pay
- 9. Specific dollar amount that an insurer must satisfy during a specific period of time before reimbursement can be received from their plan.
- 11. Another word for a client who receives health insurance benefits
- 13. A process to request action when a cheque may have been lost, stolen, destroyed, or mailed to an incorrect address
- 15. When a claim is resubmitted with required information in order to be paid.
- 16. The Medavie Blue Cross system used to locate information and coverage for Private & CIC Members
- 17. The Medavie Our Claims Workflow & Imaging technology
- 18. The Medavie Blue Cross Claims Adjudication System
Down
- 1. A set dollar limit for certain benefits and services in a specified time period.
- 3. A rule that outlines how often a member can have services or products in a specific time frame.
- 5. A summary of all cheques issued to the Member or Provider under the applicable ID
- 6. When a claim was paid incorrectly. To correct a date of service, amount billed, wrong benefit code or when a Medavie Blue Cross cheque is returned and must be cancelled, or when a partial or full refund is received from the member or provider.
- 8. Coordination of Benefits is a procedure developed for individuals covered under more than one health insurance policy. It requires that payment of benefits is coordinated by all plans to eliminate duplication of benefits.
- 10. The Medavie Blue Cross system which houses all Provider information
- 12. The Medavie Blue Cross Pharmacy Claim Adjudication System
- 14. Health professionals who provide health care services. Such as; Doctors, Chiropractors, Dentists, Pharmacies or many others offering specialized health care services.
- 17. The Medavie Blue Cross system used to locate information and coverage for RCMP and CF members.