Stealth Claims Crossword

1. Providers who have agreed to provide medical care under the terms of a contract with an insurer, administrator, employer, etc.
6. A product/service provided to assist policyholders with cash flow in situation where extremely high dollar claims occur.
8. The time period during which insurance coverage is in effect.
9. Consolidated Omnibus Budget Reconciliation Act (of 1985).
10. Continuation of a policy after its expiration date.
11. The entity that receives commissions from the sale and service of insurance policies.
12. Family Medical Leave Act.

2. Explanation of Reimbursement.
3. Claims incurred in the previous contract period and presented in the subsequent contract period for payment processing.
4. Listing of charges a patient or their insurance is being billed for.
5. An exclusion or adjustment of the stop-loss deductible for an individual.
7. Summary Plan Document.
8. Money charged for the insurance coverage reflecting expectation of loss.
9. Confirmation of Eligibility.