Health Care Systems

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Across
  1. 3. Abbr for what benefits a member receives
  2. 6. Process for providers and payers to resolve disputes
  3. 8. Abbreviation for a type of medical record
  4. 10. Elevate and advance
  5. 14. The most a member pays within the benefit year
  6. 15. A timeliness measure typically 24/ 72 hours
  7. 16. Part of Consolidated Appropriations Act 2021 protecting consumers from surprise medical bills
  8. 18. Money granted by the government
  9. 19. An abbr used that could define: measure of care costs, ongoing use of a provider who left network, or care management support
  10. 23. Federal health insurance
  11. 24. Your share of cost as a percent
  12. 25. Core role of health insurance
Down
  1. 1. State run plans for low income populations
  2. 2. A complaint
  3. 4. Your share of cost as a fixed amount
  4. 5. Money paid by one or more: consumer / employer / subsidy
  5. 7. Abbr for equipment or supplies
  6. 9. Regulates Medicaid plans
  7. 11. Abbr for what a member pays under their plan
  8. 12. Abbr of standardized codes as defined by Medicare
  9. 13. Process enabling patients to get high quality care
  10. 16. A unique identification number for healthcare providers
  11. 17. Geographical accessibility of providers
  12. 18. A Timeliness measure typically 14 days
  13. 20. Affordable Care Act
  14. 21. Amount you pay before insurance starts to pay
  15. 22. Contracted facilities or providers
  16. 26. A managed care preservice practice