Billing and coding
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 | Patient receives service at a discounted rate from a panel, or select group of physicians and other health care providers who participate in the program
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| CAREN | show 🗑
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| C.O.B | show 🗑
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| Contract Number | show 🗑
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| show | This can be a set dollar amount based on contract benefits, or a percentage of the approved amount that the subscriber pays for medical services.
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| Customary Charge | show 🗑
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| Deductible | show 🗑
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| DENIS | show 🗑
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| Dependent | show 🗑
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| CMS 1500 | show 🗑
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| show | Health Maintenance Organization- Patients must choose a PCP who provides services, must obtain referrals to see specialist
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| Master Medical | show 🗑
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| show | A two character code- either 2 numbers or an alphanumeric code to further clarify information about a CPT code to the insurance carrier
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| NASCO | show 🗑
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| Non-Participating Physician | show 🗑
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| show | Physician who has entered into a written contract with BCBS to accept the payment from BCBS as payment in full. Patient can only be charged deductibles, co pay, on non-contract benefit
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| Point of Service (Blue Choice) | show 🗑
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| show | Preferred Provider Organization- patients recieve services at a discounted rate from a select group of physicians and other health care providers who participate in the program. May be co pays`
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| Preauthorization | show 🗑
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| Pre-existing condition | show 🗑
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| Premium | show 🗑
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| show | Unique 10 digit number assigned by BCBS to providers to identify them
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| Subscriber | show 🗑
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| NPI (National Provider ID) | show 🗑
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Created by:
bossy777
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