Across
- 7. The amount of money that the insured must pay before the insurance company will pay a claim
- 8. A refusal by a health insurance company to pay for services it has agreed to cover
- 10. A notification from a payer that payment has been transmitted
- 11. The formal release of a patient
- 12. A contribution made by an insured person toward the cost of medical treatment or services
- 13. The process of submitting claims to payers and statements to patients
- 15. A healthcare event between patient and practitioner on a specific date/time
Down
- 1. The process that enables medical practices and clinics to efficiently manage patient appointments
- 2. A formal request to an insurance company for coverage or compensation
- 3. All administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue
- 4. A decision by an insurance company that a service/treatment is medically necessary
- 5. The percentage of costs of a covered health care service you pay after you've paid your deductible
- 6. The transformation of a diagnosis, procedure, or medical service into alphanumeric codes
- 9. The process of collecting essential demographic, financial, and medical information about a patient
- 14. An itemized list of expected charges for healthcare services