Reimbursement

3. Children's Health Insurance Program
5. Higher reimbursement than deserved.
7. Detailing how the payer processed the claim for payment.
8. Pre-established percentage policyholder pays after the deductible is met.
11. Health Insurance for active duty and retired military and their families.
13. cost sharing where policyholder pays a fixed dollar amount.
15. Function that allows retrospective reconstruction of events.
17. Set amount per month or year policyholder pays to help cover medical expenses.
18. Program of All-Inclusive Care for the Elderly
19. Helps with medical costs for low income families.

1. Unnecessary costs to any healthcare benefit program.
2. Assigning codes that represent higher payment than the service provided.
4. Health coverage for Americans age 65 and older.
6. Natural Language Processing
9. Managed Care Organization
10. Amount of yearly cost paid by policyholder pays before insurance kicks in.
12. Intentionally attempts to obtain money or property from a healthcare benefit program.
14. Health Insurance for the spouse or child of veteran who died while serving in military.
16. Using multiple codes when a single code is available.
20. Determines the primary insurance when patient is covered by more than one company.