HealthLogic Terminology

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Across
  1. 2. A batch of work containing Envelopes received by Lockbox that did not include any Checks. These batches may include EOBs that have been paid by Paper Checks, sent separately for some reason (or replacement copies of the EOBs that the client asked for), EOBs that were paid by EFTs/ACHs, Letters, and other types of documents related to Healthcare.
  2. 7. This refers to the amount a patient owes a provider after an insurance company pays for their portion of the medical expenses. This can be Co-Insurance, Co-Pay, or Deductible.(Two Words)
  3. 8. The Amount your health care provider bills for the health care service provided to you.
  4. 10. Primary/Secondary/Tertiary Claims. (Two Words)
  5. 14. Opens any specific rules for the client you are working on currently.(Two Words)
  6. 15. The date health care services were provided.
  7. 16. It is a mandatory 2% payment reduction in the Medicare fee-for-services(FFS) program.
  8. 17. It is a way to measure service volume over a period of time.
Down
  1. 1. A batch of work containing Envelopes received by Lockbox with checks and accompanying documents (usually in the form of EOBs).
  2. 3. This is usually used to refer to the part of the Bill that Patients are supposed to return with their Payments to tell the Provider which account the Patient Payment is for. These may be plain coupons or Scannable Coupons (that contain a scan-line with details needed to post the payment).
  3. 4. The amount of money patient must pay each year to cover eligible medical expenses before insurance policy starts paying.
  4. 5. This is used in the Claim Type field when the entity making payment is doing so as the Primary Insurance Company for the Patient.
  5. 6. Health Insurance Claim number. Often referred to as the Member ID number.
  6. 7. The amount paid by the Insurance company to your health care provider as per the plan.
  7. 8. Current Procedural Terminology. These service codes are typically 5 numeric digits.
  8. 9. This is used to search to locate a patients information. This may also be referred to as the client's Claim Data.
  9. 10. Form of payment that draws money directly from a checking account.
  10. 11. LT=the procedure was performed on the Left side of the body, RT= Right.
  11. 12. Remittance documents sent by health insurance companies.
  12. 13. Code Based or Foot Note Based.(Two Words)