FEP 6/3 CLASS

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Across
  1. 3. fixed amount of money paid to provider
  2. 5. filing the f9 key in sessions contains what information
  3. 6. 4-digit codes billed on UB claim forms that typically begin with zero.
  4. 8. any event affecting a FEP Member involving an accidental injury.
  5. 9. Basic plan is a ______ formulary
  6. 10. this must be met before plan benefits begin
  7. 12. Other Pary Liability
  8. 14. indicator that a refund has been requested
  9. 15. inpatient hospital stays require
Down
  1. 1. these claims have a disposition of 2
  2. 2. codes Used by facilities only on UB claim forms to track health interventions taken by medical professionals
  3. 4. written appeal from member/provider or someone on behalf of
  4. 7. 2-digit code used to further identify the procedure performed
  5. 11. Adv code is valid and _______ coverage is based on medical necessity, No PA is needed
  6. 13. Maximum Out of Pocket