Everest 345 mod c wk 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| assignment | patient authorization for insurance to pay directly to physician
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| beneficiary | individual entitled to receive insurance policy
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| CHAMPUS | insurance for active duty military and retired military and families
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| CHAMPVA | civillian health and medical program of the Veterans Administration
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| claim | demand for something due
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| coordination of benefits | procedure used when a person has more than one health insurance
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| co-payment | patient's payment at the time of service for a portion of the cost
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| coverage | inclusion within the scope of an insurance policy
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| CPT | current procedural terminology
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| deductible | eligible charges patient must pay before plan begins to pay
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| disability | physical or mental impairment
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| DRG | diagnosis related group
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| eligibility | qualified to be covered
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| EOB | explanation of benefits
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| EOMB | explanation of medical benefits
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| estimate | educated guess
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| exclusion | not included
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| existing condition | previous diagnosis your new insurance will not cover
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| HCPCS | healthcare common procedural coding system
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| HIC | health insurance claim that insurance will pay
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| HMO | health maintenance organization
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| ICD-9-CM | international classification of diseases 9th clinical modification
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| IPA | independent practice association; group of physicians that prepays for treatments
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| lapse | no longer in effect
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| medicare | health insurance for elderly and disabled
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| medicaid | health program for persons without funds
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| PPO | preferred provider organization
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| premium | amount paid for insurance coverage
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| probationary period | period of testing and evaluation
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| provider | person who gives health care
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| RVS | relative value studies
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| subscriber | person who holds the insurance
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| UCR | usual, customary, and reasonable
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| void | not valid
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| worker's compensation | government mandated insurance for all employees against on the job injury
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| mandate | required
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| audit | examination of records
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| accounting | reporting financial results to a business
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| currency | paper money in circulation
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| certified | approved
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| disbursement | to pay out
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| embezzlement | to take money by breech of trust
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| fiscal | relating to financial matters
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| negotiable | transferable from one person to another
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| payee | the person receiving the money
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| payer | the person who signs checks to release money
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| post date | writing a future date on a check
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| signee | person who signs a check
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| stop payment | maker of check instructs the bank to not honor the check
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| third party check | check written as payment but presented to another person as payment
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| warrant | token of authorization
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| Reciprocity | mutual agreement to exchange privileges, dependence, or relationships
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| dependents | anyone other than the subscriber included on the insurance
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everest
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