Patient who has not seen a particular provider within the past three years.

Established Patient (EP)-

Patient who has seen a particular provider within the past three years.

Physician who transfers care of the patient to another physician.

Participating Provider (PAR)-

Provider who agrees to provide medical services to a payer's policyholders according to a contrast.

Nonparticipating Provider (nonPAR)-

Provider who does not join a particular health plan.

Patient information form-

Form that includes a patient's personal, employment, and insurance company data.

Person who is financially responsible for the bill.

Assignment of benefits-

Authorization allowing benefits to be paid directly to a provider.

Acknowledgement of Receipt of Notice of Privacy Practices-

Form accompanying a covered entity's NPP (Notice of Privacy Practices) for the patient's signature, indicating the NPP has been read.

Clinician who treats a patient face-to-face.

Clinician who does not interact face-to-face with the patient.

A unique number that identifies a patient.

HIPAA Eligibility for a Health Plan-

Electronic transaction in which a provider asks for and receives an answer about a patient's eligibility for benefits (X12 270/271).

Number assigned to a HIPAA 270 electronic transaction.

Advanced beneficiary notice (ABN)-

Medicare financial agreement from, signed by the patient, that proves you have informed the patient of his or her financial responsibility for a service not covered by benefits.

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Chapter 3

Question	Answer
New patient (NP)-	Patient who has not seen a particular provider within the past three years.
Established Patient (EP)-	Patient who has seen a particular provider within the past three years.
Referring physician-	Physician who transfers care of the patient to another physician.
Participating Provider (PAR)-	Provider who agrees to provide medical services to a payer's policyholders according to a contrast.
Nonparticipating Provider (nonPAR)-	Provider who does not join a particular health plan.
Patient information form-	Form that includes a patient's personal, employment, and insurance company data.
Guarantor-	Person who is financially responsible for the bill.
Assignment of benefits-	Authorization allowing benefits to be paid directly to a provider.
Acknowledgement of Receipt of Notice of Privacy Practices-	Form accompanying a covered entity's NPP (Notice of Privacy Practices) for the patient's signature, indicating the NPP has been read.
Direct provider-	Clinician who treats a patient face-to-face.
Indirect provider-	Clinician who does not interact face-to-face with the patient.
Chart number-	A unique number that identifies a patient.
HIPAA Eligibility for a Health Plan-	Electronic transaction in which a provider asks for and receives an answer about a patient's eligibility for benefits (X12 270/271).
Trace number-	Number assigned to a HIPAA 270 electronic transaction.
Advanced beneficiary notice (ABN)-	Medicare financial agreement from, signed by the patient, that proves you have informed the patient of his or her financial responsibility for a service not covered by benefits.

Created by: JuliFer25

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