Medical insurance crossword

2. amount, an insurance company will use to calculate the patient responsibility. This amount excludes contractual adjustments and non-covered charges.
4. The most the insured will pay for eligible/covered services in the benefit or plan year; after this amount is met, the insurance plan pays 100% of the covered cost.
6. Federal program providing insurance coverage for the elderly (age 65 or older), anyone who is permanently disabled or with end stage renal disease (ESRD).
9. Number given to a patient by their insurance carrier that identifies the group or plan under which they are covered.
11. Unique number a patient or a company provides, for billing purposes, in order to receive healthcare from a provider.
13. A health care program that provides health coverage to eligible low-income adults, children, pregnant women, elderly adults and people with disabilities.
14. Requiring a general practitioner to see a patient before a specialist will set up a visit.
15. A document or statement sent by an insurance company to a patient and a provider explaining what medical treatments and/or services were paid for on the insured’s behalf.
17. Percentage of coverage a patient is responsible for versus what the insurance company is responsible for, usually after the patient has met their deductible.
18. Amount of money an individual or business must pay for insurance coverage from an insurance carrier.
19. Main individual covered under a group policy.

1. Compensation, Form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue their employer for negligence.
2. Occurs when a patient or a provider tries to convince an insurance company to allow a charge after it initially denied the charge.
3. Responsible party for the patient (i.e., parents or guardian of a minor child.
5. Savings Account, A type of savings account that lets someone set aside money on a pre-tax basis to pay for qualified medical expenses.
7. Amount a patient is usually responsible for before their benefits will start to reimburse.
8. A monetary charge health insurance plan may require be paid in order to receive a specific medical service or supply.
10. Standard billing form for facilities.
12. Health care program for uniformed service members, retirees, and their families around the world.
16. Person who is eligible and entitled to Medicare benefits. This term can also be used for any person or entity covered under an insurance policy who receives benefits.
19. Patients who do not have any insurance to bill. Providers can ask for money owed for services prior to the provider seeing the patient.