Across
- 3. a provider bills you for difference between the provider’s charge and the allowed amount.
- 7. maximum amount your plan will pay for a covered health care service.
- 10. ticketing system that will allow you to create, edit, view, and resolve cases.
- 11. providers and facilities must provide to patients for certain medical services.
- 12. amount you pay for covered health care services per year before plan starts to pay its share.
- 14. What piece of information should be provided to each caller during the close?
- 17. amount you’ll have to pay each year before your plan starts to pay 100% for covered benefits.
- 18. Incoming calls must be answered within ________.
Down
- 1. Question or Complaint regarding insurance the user gets through a “self-insured” employer is redirected to…
- 2. enter this in both the first and last name sections if caller refuses to give name.
- 4. % of the cost you pay for a covered health care service after you’ve met your deductible.
- 5. fixed amount you pay for a covered health care service after you’ve met your deductible.
- 6. Upfront information on costs ahead of a service and potential out-of-network costs.
- 8. monthly cost you pay for your insurance plan.
- 9. There are two idr fees, the administrative fee and the ________.
- 13. Items that should be attached to each case.
- 15. takes effect on January 1, 2022 and provides patients financial protections against certain medical bills.
- 16. the system that allows you to receive and make calls.