RCM Puzzle

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Across
  1. 3. In- vs out-of-_____ matters
  2. 5. Post-claim summary (abbr., “explanation of benefits”)
  3. 7. Primary care provider (abbr.)
  4. 8. Insurance company
  5. 9. Fixed fee you pay per visit
  6. 13. Challenge a denial
  7. 14. Insurer says “no” to a claim
Down
  1. 1. Electronic medical record (abbr.)
  2. 2. Order to see a specialist
  3. 4. Yearly spending cap (abbr., “out-of-pocket max”)
  4. 6. Procedure billing code (abbr.)
  5. 9. Request to insurer for payment
  6. 10. Diagnosis code standard
  7. 11. Provider identifier number (abbr.)
  8. 12. Health data privacy law