Across
- 1. A request by a member or provider asking AHP to reconsider a decision on a claim denial
- 5. A set dollar amount the member pays for a medical visit
- 7. A set amount paid by the member monthly.
- 8. A request for payment for a service rendered to a member
- 11. A compliant filed with the insurer regarding customer services, provider behavior or access to care.
- 13. A licensed doctor, facility, or group that provides health care services
Down
- 2. The maximum the member will pay for medical services
- 3. This plan has no out of network benefits and is offered to GA members.
- 4. A in network provider billing a member the full amount is called ______
- 6. A percentage a member must pay for medical services
- 9. What kind of policies are Solocare policies?
- 10. The amount a member must pay before Alliant will pay for services
- 12. What kind of plans are offered to TN members?