TERMINOLOGY
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| FEE FOR SERVICE | HEALTH PLAN THAT REPAYS THE POLICYHOLDER FOR COVERED MEDICAL EXPENCES
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| PPO | MANAGED CARE NETWORK OF HEALTH CARE PROVIDERS WHO AGREE TO PERFORM SERVICES FOR PLAN MAMBERS AT DISCOUNTED FEES.
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| HMO | A MANAGED HEALTHCARE SYSTEM IN WHICH PROVIDERS AGREE TO OFFER HEALTH CARE TO THE ORGANIZATION'S MAMBERS TO FIXED PERIODIC PAYMANTS FROM THE PLAN
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| ADJUDICATION | SERIES OF STEPS THAT DETERMINE WHETHER A CLAIM SHOULD BE PAID
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| REMITTANCE ADVICE (RA) | AN EXPLANATION OF BENIFITS TRANSMITTED ELECTRONICALLY BY A PAYER TO A PROVIDER
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| ACCOUNTS RECEIVABLE (AR) | MONIES THAT ARE FLOWING INTO A BUSINESS
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| ELECTRONIC MEDICAL RECORDS (EMR) | THE ELECTRONIC AND MANAGEMENT OF HEALTH INFORMATION
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| FEE FOR SERVICE | HEALTH PLAN THAT REPAYS THE POLICYHOLDER FOR COVERED MEDICAL EXPENCES
🗑
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| PPO | MANAGED CARE NETWORK OF HEALTH CARE PROVIDERS WHO AGREE TO PERFORM SERVICES FOR PLAN MAMBERS AT DISCOUNTED FEES.
🗑
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| HMO | A MANAGED HEALTHCARE SYSTEM IN WHICH PROVIDERS AGREE TO OFFER HEALTH CARE TO THE ORGANIZATION'S MAMBERS TO FIXED PERIODIC PAYMANTS FROM THE PLAN
🗑
|
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| ADJUDICATION | SERIES OF STEPS THAT DETERMINE WHETHER A CLAIM SHOULD BE PAID
🗑
|
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| REMITTANCE ADVICE (RA) | AN EXPLANATION OF BENIFITS TRANSMITTED ELECTRONICALLY BY A PAYER TO A PROVIDER
🗑
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| ACCOUNTS RECEIVABLE (AR) | MONIES THAT ARE FLOWING INTO A BUSINESS
🗑
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| ELECTRONIC MEDICAL RECORDS (EMR) | THE ELECTRONIC AND MANAGEMENT OF HEALTH INFORMATION
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| SPONSER | IN TRICARE, THE ACTIVE DUTY SERVICE MEMBER
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| REFERRING PROVIDER | A PHYSICIAN WHO RECOMMENDS THAT A PATIENT MAKE AN APPOINTMENT WITH A PARTICULAR DOCTOR
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To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
DELONI
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