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By Abby Hernandez R CMA 1/2

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Term
Definition
Private Insurance   show
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Primary Insurance   show
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Premium   show
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show The second health plan when you have more than one health insurance plan  
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Self Insured   show
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Self pay   show
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show A plan established and maintained for its employees by the Government of the United States, by the government of any State or political subdivision  
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show A fixed out-of-pocket amount paid by an insured for covered services  
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show A specified amount of money that the insured must pay before an insurance company will pay a claim  
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show Is the insurance company’s written explanation regarding a claim, showing what they paid and what the patient must pay  
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show A type of insurance in which the insured pays a share of the payment made against a claim  
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show Is a document that provides essential information about your claim payments  
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show Patients make informed decisions about items and services Medicare usually covers but may not in specific situations  
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show A federal system of health insurance for people over 65 years of age and for certain younger people with disabilities  
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Tricare   show
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CHAMPVA   show
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show A federal system of health insurance for those requiring financial assistance  
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show a government-mandated program that provides benefits to workers who become injured or ill on the job or as a result of the job  
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show If your children need health coverage, they may be eligible for the Children's Health Insurance Program  
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Group Policies   show
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show Individual health insurance is coverage that you purchase on your own, on an individual or family basis, as opposed to obtaining through an employer or from a government-run  
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HMO (Health Maintenance Organization   show
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show Health insurance plan for individuals and families  
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show Tax-advantaged personal savings account  
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Flexible Spending Account (FSA)   show
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ICD-10-CM   show
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Upcoding   show
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CMS-1500 form   show
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Referrals   show
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show A participating provider is a healthcare provider that has agreed to contract with an insurer or managed care plan to provide eligible services to individuals covered by its plan.  
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show If there is still a balance owed on that bill and the healthcare provider or hospital expects you to pay that balance, you’re being balance billed  
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show The face amount of the policy does not exceed a stated amount  
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show Invoices or reimbursements owed to a medical practice, hospital or other healthcare organization  
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Accounts payable   show
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show A type of credit insurance offered by lenders that provides coverage for your debt in the event  
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Assets   show
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show In financial accounting, a liability is a quantity of value that a financial entity owes  
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Electronic Medical Record (EMR)/Electronic Health Record (HER)   show
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Created by: abbyhern11
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