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Everest345modcwk2
Everest 345 mod c wk 2
| Question | Answer |
|---|---|
| assignment | patient authorization for insurance to pay directly to physician |
| beneficiary | individual entitled to receive insurance policy |
| CHAMPUS | insurance for active duty military and retired military and families |
| CHAMPVA | civillian health and medical program of the Veterans Administration |
| claim | demand for something due |
| coordination of benefits | procedure used when a person has more than one health insurance |
| co-payment | patient's payment at the time of service for a portion of the cost |
| coverage | inclusion within the scope of an insurance policy |
| CPT | current procedural terminology |
| deductible | eligible charges patient must pay before plan begins to pay |
| disability | physical or mental impairment |
| DRG | diagnosis related group |
| eligibility | qualified to be covered |
| EOB | explanation of benefits |
| EOMB | explanation of medical benefits |
| estimate | educated guess |
| exclusion | not included |
| existing condition | previous diagnosis your new insurance will not cover |
| HCPCS | healthcare common procedural coding system |
| HIC | health insurance claim that insurance will pay |
| HMO | health maintenance organization |
| ICD-9-CM | international classification of diseases 9th clinical modification |
| IPA | independent practice association; group of physicians that prepays for treatments |
| lapse | no longer in effect |
| medicare | health insurance for elderly and disabled |
| medicaid | health program for persons without funds |
| PPO | preferred provider organization |
| premium | amount paid for insurance coverage |
| probationary period | period of testing and evaluation |
| provider | person who gives health care |
| RVS | relative value studies |
| subscriber | person who holds the insurance |
| UCR | usual, customary, and reasonable |
| void | not valid |
| worker's compensation | government mandated insurance for all employees against on the job injury |
| mandate | required |
| audit | examination of records |
| accounting | reporting financial results to a business |
| currency | paper money in circulation |
| certified | approved |
| disbursement | to pay out |
| embezzlement | to take money by breech of trust |
| fiscal | relating to financial matters |
| negotiable | transferable from one person to another |
| payee | the person receiving the money |
| payer | the person who signs checks to release money |
| post date | writing a future date on a check |
| signee | person who signs a check |
| stop payment | maker of check instructs the bank to not honor the check |
| third party check | check written as payment but presented to another person as payment |
| warrant | token of authorization |
| Reciprocity | mutual agreement to exchange privileges, dependence, or relationships |
| dependents | anyone other than the subscriber included on the insurance |
Created by:
everest
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