Type
Word Search
Description

Windsor Park
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Batch Sheet
United Healthcare
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Tricare
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Coventry
Humana
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Work Comp
Generic Auto
Self Pay
Insurance

Healthcare Insurance Word Search

Type
Word Search
Description

ERIE
SENTRY
MUTUAL OF OMAHA
ANTHEM
GOLDEN RULE
AMERISAFE
AMERIGROUP
ASSURANT
AFLAC
COVENTRY
MOLINA
THE HARTFORD
CAREFIRST
OPTIMA
AARP
HUMANA
AMERITAS
UNITED HEALTHCARE
MEDICADE
MEDICARE
TRICARE
KAISER
AETNA
CIGNA
BLUE CROSS BLUE SHIELD

Health Insurance Crossword Puzzle

Type
Crossword
Description

What does the acronym PPO stand for? Preferred Provider Organization
What is the acronym for Health Maintenance Organization? HMO
There are two types of medical billing: Institutional and _______________________. Professional
An __________ is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. EOB
What type of claim form is used by hospitals? UB-04
Another name for a Health Information Specialist is a _________________________ Specialist. Reimbursement
An _____________________________ is a digital version of the traditional paper-based medical record for an individual. The EMR represents a medical record within a single facility, such as a doctor's office or a clinic. EMR
What is the amount you pay for health care services before your health insurance begins to pay? Deductible
A __________ is a fixed amount you pay for a health care service? Copay
A primary care physician is also known as a _______________________. Gatekeeper
What is the abbreviation for out-of-network? OON
What is the abbreviation for in-network? INN
What type of managed care plan lets you choose between an HMO or a PPO each time you need care? POS
How many parts does Medicare have? Four
A 1996 federal law that is sometimes called the "privacy rule", outlining how certain entities can use or disclose personal health information. HIPAA
The reason for the visit or surgery that defines the disease process or injury. Medical Necessity
M48.1 is an example of what type of code? ICD-10
What does UB stand for in UB-04? Uniform Bill
The healthcare system, funded by the U.S. Department of Defense, that active and retired military and their dependents use. Tricare
The entity that reimburses the provider for services. Insurance companies, Medicare, Medicaid, and third-party administrators are all payers in the healthcare industry. Payer
Any health care plan, provider, or service that transmits health care information in an electronic form and is thereby governed by laws and regulations in the handling of such data. It's called a covered _______________? Entity

How Well Do You Know Your Insurance? Word Search

Type
Word Search
Description

VA Medical
Aetna
VA Premier
UHC
PHCS
COVA Care
Multiplan
MDIPA
Humana
Optima
CIGNA
Self pay
Carefirst
Workers Compensation
HMO
Commercial Insurance
Tricare
Anthem Keycare PPO
Anthem Pathways
Blue Cross Blue Shield
Medicare
Medicaid
Health Keepers

FRONT DESK Word Search

Type
Word Search
Description

Tickets
Frederick foot and ankle
Doctors
Patients
Game Day
Night Splint
Airheel
Orthotics
MRI
Biopsy
Fungus
Wart
Nueropathy
Diabetes
Flat feet
Ingrown
Johns Hopkins
Aetna
Priority Partners
Medicaid
Medicare
Tricare
Cigna
United health care
Blue cross blue shield
Phones
Remote
Backdesk
Out of Pocket
Deductible
Coinsurance
Copay
Checkout
Checkin
Insurance
Verification

Know Your Stuff Crossword

Type
Crossword
Description

Who is the subscriber for Cigna Self
What occurence code would you use for a fall? 05
What BlueCross mneumonic start with an R? BCFD
When the subscriber ID of a Blue Cross Blue Shield starts with an A and is followed by two number which Blue Cross would you use? BCTPA
What is the occurenence code 01 used for? MVA
When should you use Tricare Generic? never
When pt's have Medicaid what should you look up in the RTE response? MCO
What do you have to do for ALL Kaiser pt's? ( 2 WORDS) Call Kaiser
What do you put for a peds employment status? Not employed
What coverage do you check when a pt has no insurance? Medicaid
What guarantor do you use for a MVA Third party
Which Tricare would you use for pt's who are 65 and older? WPS
What is one thing you never change on the interactive facesheet? Guarantor
What is an 03 occurence code used for? Workers comp

EC Insurance Word Search 1

Type
Word Search
Description

Aarp
Advantage
Aetna
Availity
Blue cross
Blue e
Blue medicare
Blue value
Carolina access
Cigna
Contracted
Detention
Do not use
Elderhaus
Federal
Healthchoice
Healthnet
Healthshare
Humana
Insurance
Medcost
Medicaid
Medicare
Multiplan
Nc tracks
Non contracted
Oxford
Payer
Primary
Prime
Railroad
Replacements
River valley
Secondary
Select
Selfpay
Sierra health
Tricare
United healthcare
Veterans
Workers comp

Insurance Vocabulary Crossword

Type
Crossword
Description

A U.S. law that creates a payroll tax requiring a deduction from the employees and employers. FICA
Provides assistance to people with an inadequate or no income. Social Security
A program under the US Social Security Administration. Medicare
In an insurance policy that you have to pay out of pocket by the policyholder. Deductiable
Choice of a high monthly payment and low deductible or high deductible and low monthly payment. Options
Insurance that pays for an employee's medical care in the event that he/she is injured at work. Workers' Compensation
type of vehicle, coverage needed, credit score, age, driving record, marital status Auto Insurance Premiums
Payment by a United States agency to unemployed people. Unemployment Compensation
payment made by a beneficiary (especially for health services) in addition to that made by an insurer. Co-Pay
Protection against financial loss that would result from the premature death of an insured. Life Insurance
Jointly funded by the states and the federal government. Medicaid
Pays and benefits employees receive when they leave employment at a company. Severance Package

Health/Life Insurance Crossword

Type
Crossword
Description

Medications that have the same composition as their name brand counterparts but are less expensive. Generic
A government plan that requires your employer to allow you to pay to continue your health coverage months after you leave. cobra
A medical condition diagnosed or treated before you join a new insurance plan. preexisting condition
A request from your primary care physician for services from a specialist. referral
Insurace that is designed to replace your lost income when you cannot work because of an accident or illness. disability
The person or persons that receive the death benefit upon your death. beneficiary
An insurance program set up to pay expenses for work-related injuries, illnesses and death. Worker's Compensation
You pay for health services as you receive them. Fee for Service plan
An example would be that you pay the first $500 before coinsurance. Deductible
A managed care plan that charges a set amount for each member each year. (Abbr) hmo
you can usually enroll in your employer's plan when you begin your job or during a specified period each year. openenrollment
Insurance that pays a death benefit if the policyholder dies within a specified period of time. Term

Healthcare Vocabulary Crossword

Type
Crossword
Description

A contract with a company where the subscriber pays a regular premium in exchange for a defined set of benefits Health Insurance
Reffered to as family doctor/PCP this person administers routine and preventive care, and makes referrals for specialty services when needed. Primary Care Provider
A provider who focuses on one area of medicine. Like a cardiologist or neurologist Specialist
A contracted, pre-determined dollar amount insurance company requires a patient to pay for a particular medical service. (It requires patients to pay a small amount upfront to deter people from seeking medical care that may not be necessary.) Copay
The contracted rate a health insurance company will pay toward a specific medical service. Allowable Charges
A contracted, pre-determined percentage of the allowable charge that a patient is required to pay for a particular medical service (after the deductible is met and before the out-of-pocket maximum is met). CoInsurance
A pre-determined annual amount patient must pay before insurance begins to cover. Deductible
Annual maximum amount patient is required to pay for in-network medical services per his/her insurance plan contract (typically, copay + coins + deductible) Out of Pocket
The person who is responsible for payment of the monthly premium, or whose employment is the basis for the coverage. Subscriber
A person entitled to health insurance benefits under the subscriber’s plan. Covered Member
Insurance Company Payor
A specific package of benefits negotiated between the company and the employer. Plan
Dates during which the insurance plan is active. Effective Dates
Explanation of Benefits is a statement from the insurance company that details payments and adjustments made for services. EOBs go to both the provider and the patient. EOB
/Response from the insurance company that states no payment will be made. (service could be not covered by the insurance plan, or the insurance company may need more information.) Denial
The order in which the claim is sent to insurance companies. If patient has more than one insurance plan, we must determine which insurance should be billed primary, secondary, etc. Primary: the first insurance company designated to pay toward their allowable charges. Secondary: the second insurance company designated to pay toward their allowable charges. Filing Order
The pathway a patient takes from one provider to another. Referrals may be required by insurance before a patient can be seen by the other provider. Referral
The process whereby a physician must obtain insurance approval before a patient receives certain treatment or drugs (study, test, procedure, surgery.) Authorization

CLAIM Bingo Cards

Type
Bingo Cards
Description

claims
rejections
coding
Emory
scorecards
GE
TES
Blue Cross
Cigna
Wellcare
TriCare
EyeMed
Specialty Billing
UHC
Patient Services
appointments
Customer Service
production
ETM
no activity
Medical Records
Aetna
Medicare
Kaiser
Ambetter
cases
Humana
revenue
eligibility
Project Office
quality
GPR
Pre-Cert
Passport
Medicaid
Coventry
Avesis
Clinicl Trials
Financial Clearance
LabCorb

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