Insurance
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show | Provided by a person's employer
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Primary Insurance | show 🗑
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show | the amount of money that a person pays for their insurance
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show | Double coverage (ex. your work and your parents'insurance.
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show | Individuals pay for their insurance. ( Usually for people who are self employed.
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Self pay | show 🗑
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Government Plans | show 🗑
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Co-pay | show 🗑
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Deductibles | show 🗑
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Explanation of benefits (EOB) | show 🗑
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Co-insurance | show 🗑
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show | An EOB sent to the provider from the insurance carrier. Is similar to the EOB, the RA contains multiple patients and providers .Also includes the electronic funds transfer information or a check for payment.
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Advance beneficiary notice (ABN) | show 🗑
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Medicare | show 🗑
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show | Authorizes dependents of military personnel to see civilian practitioners.
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CHAMPVA | show 🗑
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Medicaid | show 🗑
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show | A state legislative law that protects employees against the cost of medical care resulting from a work related a work- related injury.
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CHIP | show 🗑
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show | Offered through an individual's employer who will pay a portion of the premium and deduct the remainder of the premium from the employee's pay.
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show | Insurance plans that an individual funds themselves. Patients might pay the entire premium themselves if they are self- employed.
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HMO (Health Maintenance Organization | show 🗑
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PPO (Preferred Provider Organization) | show 🗑
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show | A savings account can be used to pay for medical expenses. These funds are not taxed until the time of withdrawal. Any amount not used stays in the account and accrues interest after a year. This must be used in conjunction with a high deductible plan. Co
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show | This account is funded with the pretax dollars by an employee. Do not roll over to the next year ( funds will be lost if not used).
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show | international classification of diseases. October 1sr 2015. 55,000 more codes than the old system. Specific reporting of diseases. 3-7 characters. first character is a letter, second and third are numbers.
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show | translates written descriptions of diseases, ailments, injuries or any health encounter into a numeric or alphanumeric code.
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show | can be submitted electronically, must be timely (12 months) must use an X. medicare only accepts capital letters.
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show | form required by insurance companies that is used when a provider wants to send a pt to a specialist.
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show | This means that the provider and insurance company have agreed between the amounts charged and approved and what will and will not be reimbursed.
* Non-participating provider may claims all together or pay at a lower reimbursement rate.
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Account balance | show 🗑
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show | an amount owed.
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show | money owed to the provider
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show | debts incurred and not paid yet
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Credit | show 🗑
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show | the entire saleable property of a person, association, cooperation, or estate applicable/subject to the payment of debts.
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Liabilities | show 🗑
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Electronic Medical Record (EMR)/Electronic Health Record (HER) | show 🗑
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