Across
- 4. In this condition, the cornea thins and bulges forward, creating an irregular "cone shaped" surface.
- 6. The abbreviation for a type of insurance plan that allows patients to see both in and out of network providers, and does not require referrals for specialist care.
- 7. this is the test that not only determines your eyeglass prescription, but also helps the doctor in medical decision making when viewing the effects of cataracts, diabetes, certain medications, and other conditions that could be affecting the eye.
- 9. Fancy word used by the insurance company to say a claim as been processed
- 10. The State Governments health insurance for the sick, poor, or disabled
- 14. The abbreviation for the type of insurance plan that has a limited provider network, and requires referrals from their PCP for any specialty care.
- 16. This is the code that tells a clearing house where to send the claim
- 18. The Federal Government's health insurance program for the aged and disabled.
- 19. A fixed amount paid by the patient for services rendered
- 21. Usually prescribed as a medically necessary, this type of contact lens extends beyond the cornea and onto the white, fibrous tissue that gives shape and structure to the eyeball.
- 22. The insurance "negotiated" rate for a service or good (2 words)
- 24. Codes for Myopia, Hyperopia, Astigmatism and Presbyopia are these type of codes.
- 26. The medical term for when the image of a distant target is focused behind the retina, causing blurry vision.
- 27. Most soft contact lenses prescribed and sold through our office are considered to be __________. Meaning they should be tossed and replaced frequently.
- 31. Amount that must be paid by patient before insurance will kick in
- 33. The document the office receives that states how an insurance processed a claim is called a ________advice.
- 34. The medical term for being "short sighted" and having the image of a distant target focus in front of the retina.
- 35. The medical terms for "pink eye."
- 36. A type of lens that only gives you one focal length or distance is called a _____ vision lens.
Down
- 1. Inflammation of the eyelids
- 2. The abbreviation given to the 3rd party companies the state medicaid plans will subcontract services too. We think of them as networks like MHS, Anthem, MDwise, Etc.
- 3. The amount a patient pays based upon a percentage of the allowed amount
- 5. This is the name given to a lens that gradually increases the magnification from distance to near without lines in the lens.
- 8. Also known as a Medigap plan these plans assist a traditional Medicare member with the their coinsurance.
- 11. This is the name given to the formal request for an insurance company to pay for items or services
- 12. This lens is one that comes with an add, and allows someone to focus on both distance and near in the same lens (with no intermediate.)
- 13. The medical term for when the lens loses its ability to flex and accommodate for up close tasks.
- 15. This condition is most often dry, but due to neovascularization, can turn wet, where weak blood vessels "leak." (2 words)
- 17. A Medicare Replacement plan or part C plan, might also be referred to as a MA or Medicare ____ plan.
- 20. Often called the "Sneak Thief of Sight" This condition often presents with high interocular pressures that can damage the optic nerve, causing a loss of peripheral vision.
- 23. Regular payments made to an insurance company for coverage
- 25. A cloudy or opaque area in the crystalline lens.
- 28. This references the amount of time an insurance company or payer gives us to get a "clean" claim submitted in order to get paid.(2 words)
- 29. the medical term for when viewing a distant target, the image is focused ON the retina.
- 30. A strong, light weight metal that is known for its durability.
- 32. The deductible, copay and or coinsurance can all be grouped as the patient's ____ ____ (2words)