Puzzling Out Accounts and Coverages

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Across
  1. 2. The person in whose name the insurance is carried.
  2. 5. A car accident is one example of when to choose this guarantor account
  3. 8. When a patient is covered by two different KPNW plans.
  4. 15. Person or entity responsible for paying the bill.
  5. 17. Always choose the appropriate one on the Account Selection screen
  6. 18. Use this button to report account and coverage problems quickly and easily without waiting on hold
  7. 19. Helping our patients get the right bill is part of this
  8. 20. Never say this. Always prepare the patient to pay some cost-share at time of visit.
  9. 21. Temporary financial assistance provided to patients who qualify
Down
  1. 1. Determines whether mom or dad's coverage pays for child's care in an intact home
  2. 3. Choose this plan if the patient is the subscriber on two different coverages
  3. 4. Determines who pays for minor child's medical coverage in the case of divorce
  4. 6. Used for illnesses and injuries that happened at home.
  5. 7. Medicare benefits which have been assigned to Kaiser Permanente.
  6. 9. When this guarantor account status is displayed, no bills are going out to the guarantor
  7. 10. Sending a guarantor bill to the wrong address could cause this kind of violation.
  8. 11. Rules to determine who pays between KPNW plans and commercial insurance plans.
  9. 12. An account for services that are not covered, such as cosmetic surgery
  10. 13. A coverage in which the patient may need to pay the full cost of some services until this is met
  11. 14. A kind of coverage with higher premiums and lower point of service costs.
  12. 16. A new account is created for every work-related injury or illness
  13. 19. Who writes and enacts COB rules