Crossword

4. A physician who has a tie up with an insurer
5. Process to assess the providers for their skill, background and qualification.
7. The person who analyze the risk and phence the premium of an insurance policy.
9. Verification from a patient's insurance carrier that a procedure is covered by the patient's insurance, after review, that the test is medically appropriate.
11. An amount of money that an insured person must pay annually before health services are covered by the insurance plan.
13. The use of technology to deliver clinical care at a distance.
14. Umbrella insurance that an employer purchases to protect itself from huge healthcare expenses that exceed the allowable for it's employees.
15. Document sent to patient covering benefit details, important questions and contact information.

1. A specified amount that a member must pay out-of-pocket for a specified service at the time the service is rendered.
2. An insurance carrier's official list of covered medications to be used by network providers.
3. The person or entity submitting a claim.
6. Providers who are covered to meet your specialty care services like lab & radiology prescribed by your PCP.
8. The covered amount paid by insurer for health care services already availed by patients.
10. Way for healthcare providers to apply to be an in-network provider.
12. Plan to freely implement a benefit plan design by en employer themselves that will meet employees’ medical needs.