Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

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.
We do not share your email address with others. It is only used to allow you to reset your password. For details read 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.
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards
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


Insurance Principles

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