Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Ins_2

Insurance Principles

TermDefinition
Employee Retirement Income Security Act (ERISA) A federal law that sets minimum standards for self-insured health plans to provide protection for individuals who participate in these plans.
Exception Provision of a policy that eliminates coverage
Exclusion Provision in a policy that denies coverage
Explanation of Benefits (EOB) Itemized statement provided to members after a claim has been processed
Express contract A verbal or written contract in which a patient and a provider agree on certain terms or conditions before the care takes place
Fee schedule List of maximum dollar allowances that apply under a specified contract
Group policy Health insurance plan purchased by an employer or organization and offered to the employees or members
Health insurance claim number (HICN) Numbers assigned to Medicare beneficiaries by the Social Security administration; consists of nine digits and a numeric or alphanumeric prefix or suffix
Health maintenance organization (HMO) A managed care organization that provides low cost health care for its members in exchange for stringent guidelines and a limited choice of providers
Implied contract A contract between a patient and a provider in which no formal exchange takes place between the provider and the patient, either verbally or in writing
Indemnity plans Plans that allow members to choose their health care providers; members share in the cost of their health care with deductibles and coinsurance payments; also called a traditional health plan
Insurance adjustments Any remaining portion once an insurance carrier meets its financial responsibility and the patient responsibility is determined; portion must be written off of the account according to the providers contract
Legend Provides the meaning of symbols. abbreviations, and term used in explanations; also called a key
Explanation of Payment (EOP) Itemized statement provided to providers after a claim has been processed
Created by: tina.reynolds
Popular Health & Social Care sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards