HIT Chapter 6 Vocabulary
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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| show | A person or organization that handles a wide variety of health insurance administrative services for organizations that have chosen to self-fund their health benefits
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| Autonomy | show 🗑
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| Basic Health Insurance | show 🗑
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| BlueCard program | show 🗑
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| BlueCard worldwide | show 🗑
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| Blue Cross and Blue Shield Federal Employee Program (FEP) | show 🗑
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| Coinsurance | show 🗑
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| Commercial Health Insurance | show 🗑
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| show | plan that combines the coverage of basic health and major medical insurance plans
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| show | charges incurred that qualify for reimbursement under the terms of the policy contract
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| show | yearly out of pocket payments made by the patient before the health insurance carrier begins to contribute
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| Explanation of Benefits (EOB) | show 🗑
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| show | government health insurance program that provides coverage for its own civilian employees
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| Fee-for-service (FFS)/Indemnity plan | show 🗑
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| show | a commercial insurer that contracts with the DHHS for the purpose of processing and administering Part A Medicare claims for reimbursement of health coverage.
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| Group Insurance | show 🗑
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| show | Individual BCBS plans throughout the United States that each has specific guidelines for completing the CMS-1500 which vary from plan to plan
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| show | a standard monthly or quarterly fee for insurance plan coverage
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| show | plan that provides healthcare to its enrollees from specific physicians and hospitals that contract with the plan
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| show | the amount of money the policyholder has to pay out of pocket for any one incident or in any one year
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| show | amount after which the insurance company would not pay any more of the charges incurred
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| show | plan that covers treatment for long, and high-cost illnesses or injuries, as well as, Inpatient and Outpatient expenses
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| show | plan that typically involves the financing, managing, and delivery of healthcare services and is composed of a group of providers who share the financial risk of the plan or who have an incentive to deliver cost-effective, but quality, service.
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| show | plans designed to provide coverage for some of the costs that Medicare does not pay;such as deductibles, coinsurance, and noncovered services.
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| show | amount of pension employees do not give up when quitting or retiring
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| Participating Provider (PAR) | show 🗑
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| Point-of-service plan (POS) | show 🗑
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| Policyholder | show 🗑
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| Preferred provider organization (PPO) | show 🗑
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| show | fee charged by the provider that falls within the parameters of the fee commonly charged for that particular service within a specific geographic area
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| Self-insured/self-insurance | show 🗑
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| show | health plans that provide services only in certain health specialties, such as mental health, vision, or dental plans
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| Stop Loss Insurance | show 🗑
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| show | another example of single or specialty coverage. Add-on coverage such as vision, dental, or prescription drug coverage
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| Third-party payer | show 🗑
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| Third-party administration(TPA) | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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.
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:
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