Across
- 1. Master Index of Patients
- 3. Type of large group insurance plan where employees have access to care anywhere in the country without a referral
- 4. Fixed sum of money that beneficiary must contribute towards the cost of their health care before insurance benefits begin
- 7. Insurance claims review process used when a beneficiary is insured by two or more carriers (__________ of benefits).
- 8. Person who is the holder of an insurance policy
- 10. Written authorization form patient/guarantor signs for their insurance company to pay benefits directly to the care provider. (_______ of benefits).
- 12. Person designated to receive proceeds of an insurance policy
- 14. Federal law requiring employers to permit employees to continue their group health insurance coverage after termination
- 15. System similar to DRGs used for outpatient services
Down
- 2. Health Insurance __________ and Accountability Act
- 5. Bill submitted to insurance company for payment
- 6. Conducting ourselves ethically and within the law of business practices
- 7. The administrative branch within the Department of Health and Human Services that is responsible for Medicare and Medicaid services.
- 9. Form used to manage care plans for PCP's authorization for certain specialist and certain services
- 11. The process of accurately account for all ADT activity within or across entities (Census _______).
- 13. Osteopathic Physician
- 14. Portion of bill that beneficiary must contribute once insurance benefits have begun (____-pay).
