UHI week 1

3. To consider several parts as a whole
4. Standard claim form designed by Centers for Medicare and Medicaid Services to submit provider services for third party payment
6. A payment system based on the number of subscribers rather than the number of patient visits; a fixed amount is paid per month regardless of the services provided to each patient
7. The ability to seek medical care from a health care provider of your choice without worry if they are remaining within a network
8. A condition that exists along with the primary diagnosis of a patient
9. A network of providers and hospitals that are joined together to contract with insurance companies employers or other organizations to provide health care to subscribers and their families for a discounted fee or rate
12. Established in 1973 for spouses and dependent children of veterans who have total , permanent , service connected disabilities
13. The standardized coding system used nationally to process Medicare claims

1. Group insurance that entitle members to service provided by participating hospitals clinics and providers
2. Required by Medicare when service is provided to a beneficiary that is either not covered or the provider is unsure of the patients coverage
4. Additional components that can be considered when selecting an evaluation and management code: time, nature of presenting problem, counseling and coordination of care
5. Established to aid dependents of active service personnel, retired service personnel and their dependents and dependents of service personnel who died on active duty with supplemental for medical care in the military or public health service facility
6. The standardized system of identifying medical procedures that was developed by the American Medical Association
10. A predetermined amount the insured must pay each year before the insurance company will pay for an accident or illness
11. The comprehensive listing of diseases and disorders of the human body put forth by the World Health Organization