Across
- 3. specific set of benefits from that payor
- 4. the insuring entity
- 6. more than one insurance plan
- 8. percentage of the charge or allowed charge
- 9. Gatekeeper
- 11. annual cycle when the insurance is effective
- 13. termination of insurance coverage
- 15. the policy holder
- 16. date when coverage begins
- 17. financially responsible for patient
- 18. often referred to as insured person
Down
- 1. EOB
- 2. "copay"
- 4. PCP not required for care
- 5. must be met before services are covered at 100%
- 7. cannot go outside of network for care
- 10. can be a spouse or child
- 11. refer to services covered by plan
- 12. public or private
- 14. Authorization to see a specialist