Across
- 2. A person who has been admitted to a hospital or other health facility, for a period of at least 24 hours
- 9. a medical condition that starts suddenly and need care immediately
- 11. A percentage of providers' fees that managed care companies hold back from providers which is only given to them if the amount of care they provide (or that the entire plan provides) is under a budgeted amount for each quarter or the whole year
- 12. law requiring that a health plan or insurance carrier must offer a particular procedure or type of coverage
- 15. A person who is eligible for or receiving benefits under an insurance policy or plan
- 17. A healthcare procedure that is not an emergency and that the patient and doctor plan in advance
- 18. Bills for services. Doctors, hospitals, labs and other providers send billed claims to health insurance plans, and what the plans pay are called paid claims
- 19. An individual or institution who provides medical care, including a physician, hospital, skilled nursing facility, or intensive care facility
- 20. The responsibility for profiting or losing money based on the cost of healthcare services provided
Down
- 1. A private organization, usually an insurance company, that finances healthcare
- 3. large businesses, small businesses, and individuals who form a group for insurance coverage
- 4. on their health plan
- 5. a parsons healthcare costs are paid by their insurance or by the government
- 6. How many times people use particular healthcare services during particular periods of time
- 7. the person enrolled in a healthcare plan
- 8. A health plan that serves the dependents of active duty military personnel and retired military personnel and their dependents
- 10. Medical services that are separated out and contracted for independently from any other benefits
- 13. A service that members are entitled to receive
- 14. a persons ability to obtain healthcare services
- 16. a group of affiliated contracted healthcare providers