Across
- 6. The code used to identify the primary diagnosis
- 7. The code used to identify the primary procedure performed
- 9. The network of healthcare providers that a managed care plan contracts with
- 10. The process of getting care outside of your managed care plan's network
- 13. The code used to identify a secondary procedure
- 16. The percentage of the cost of covered services that you must pay
- 19. A type of contract that is not in writing
- 21. The maximum amount a patient is responsible for in a year
- 23. A type of healthcare plan offering flexibility in choosing providers
- 25. The code used to identify a secondary diagnosis
- 28. The code used to identify the primary procedure performed
- 29. A document that outlines the terms of an agreement
- 30. A type of healthcare plan that emphasizes prevention and primary care
Down
- 1. A document that details the services provided to a patient
- 2. A type of healthcare plan for veterans and their families
- 3. A type of healthcare plan that serves Medicare beneficiaries
- 4. A type of healthcare plan that primarily covers catastrophic health events
- 5. The percentage of healthcare costs paid by the patient after the deductible
- 8. A formal agreement between a healthcare provider and an insurance company
- 11. A claim that is missing information or contains errors
- 12. The process of ensuring that healthcare providers are paid accurately
- 14. The initial payment made by the patient for healthcare services
- 15. The code used to identify a referral source
- 17. A type of healthcare plan that combines HMO and PPO features (POS)
- 18. The document that outlines the terms and coverage of your health insurance
- 20. The agency responsible for administering Medicare and Medicaid
- 22. The process of reviewing and discussing a contract's terms
- 24. The process of getting approval for certain treatments
- 26. A person who evaluates and negotiates contracts for a healthcare organization
- 27. The code used to identify the reason for a patient's visit
