Product Key Terms Worksheet

The highest cost a plan will pay for a covered health care service.
The expenses for medical care that aren't reimbursed by a member’s insurance.
Used on Health Care professional claims to indicate the setting in which a service was provided.
One in which the employer assumes the financial risk for providing health care benefits to its employees.
Providers or health care facilities that are part of a health plan's network
Medical code set that is used to report medical, surgical, and diagnostic procedures.
It was designed to extend health insurance coverage to millions of uninsured Americans.
An employer-sponsored insurance policy that outlines what and how an employer pays for medical, surgical and sometimes dental expenses incurred by an insured employee.
IRS-approved, employer-funded, tax-advantaged health benefit used to reimburse employees for out-of-pocket medical expenses and personal health insurance premiums.
A place that provides health care services. This include hospitals, clinics, outpatient care centers, and specialized care centers, such as birthing centers and psychiatric care centers.