Insurance Terminology Crossword

an insurance policy that covers a group of people
PCP
any individual covered by the health insurance plan
the individual with financial responsibility to the insurance plan
monthly amount paid per contract to maintain health care coverage
a percentage per contract paid at the office in which u are being seen
set amount that has to be paid by patient before the insurance covers bills
set amount of cost shared by both the insurance company and the patient
an itemized notice letting the patient know what was and was not covered by their plan
an itemized notice letting the physician know what services were/were not covered
the process of deciding which insurance is primary/secondary/tertiary
getting prior permission from the insurance plan to perform certain procedures/services
needed with most HMO plans to see a specialist or any doctor other than the PCP
using accurate ICD/CPT codes to show documentation that the procedures performed were deemed necessary
a form that the patient signs allowing payment be sent directly to the provider
informs the patient in writing that they will be required to pay for a service if it is denied by Medicare
insurance carrier or managed care organization that pays health insurance claims
a physician who does not have any contract with the third party payor
a physician who has a contractual agreement with the third party payor