Type
Word Search
Description

This word search contains the following answers:

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

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Healthcare Insurance Word Search

Type
Word Search
Description

This word search contains the following answers:

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

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Health Insurance Crossword Puzzle

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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How Well Do You Know Your Insurance? Word Search

Type
Word Search
Description

This word search contains the following answers:

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

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Coordination of Benefits Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

Patient states his BCBS is primary over Medicare. He is ___________. Employed
Not an insurance, but a program offered through healthcare facilities Charity
Another name for employer sponsored coverage GroupHealthPlan
Rule to determine which parent's coverage is primary when legal decree is not in place BIRTHDAY
Replaces Medicare. Only bill this plan Advantage
Birthday rule states the insurance of the parent with a birthday that falls first in the ____ year is primary calendar
patient and spouse are retired with Tricare. Medicare is PRIMARY
Always the insurance payor of last resort Medicaid
Patient is entitled to Veterans Administration benefits. Medicare is Primary because they ____ ___ authorized the services. Havenot
Patient has insurance through current and former employer through Cobra. Which employer plan is primary? current
Patient was in an accident and does not want the auto insurance billed. He has Medicare. Who do we bill first? Liability
Name of plan for commercially insured patients that are injured through an Auto Accident medpay
Mom DOB 5.1.60 has Cigna, Dad DOB 2.1.61 has Tufts, Which plan is primary for dually insured child? Tufts
Patientis active for both Wellsense and Medicaid. Who do we bill? Wellsense
Medicare secondary payor questionaire MSPQ
Coordination of benefits COB

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Health/Life Insurance Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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Insurance Vocabulary Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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personal finance Word Search

Type
Word Search
Description

This word search contains the following answers:

wages
value
stock
savings
salary
premium
net worth
mutual fund
mortgage
investment
interest
insurance
income
generic brand
dividend
deficit
consumable good
credit
consumer
cash income
cash flow
budget
bond
brand name
coupons
bank account
capital gain

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Medicare 101 Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

Groups of drugs that have a different cost for each group. Tier
the action you can take if you disagree with a coverage or payment decision made by Medicare, your Medicare health plan, or your Medicare Prescription Drug Plan. Appeal
An agreement by your doctor, provider, or supplier to be paid directly by Medicare, to accept the payment amount Medicare approves for the service, and not to bill you for any more than the Medicare deductible and coinsurance. Assignment
A geographic area where a health insurance plan accepts members if it limits membership based on where people live. Service area
A coverage rule used by some Medicare Prescription Drug Plans that requires you to try one or more similar, lower cost drugs to treat your condition before the plan will cover the prescribed drug. Step therapy
A person who has health care insurance through the Medicare or Medicaid programs. Beneficiary
The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. Benefit period
A written order from your primary care doctor for you to see a specialist or get certain medical services. Referral
A request for payment that you submit to Medicare or other health insurance when you get items and services that you think are covered. Claim
An amount you may be required to pay as your share of the cost for services after you pay any deductibles. Coinsurance
An amount added to your monthly premium for Part B or a Medicare drug plan (Part D) if you don't join when you're first eligible. You pay this higher amount as long as you have Medicare. There are some exceptions. Penalty
Approval that you must get from a Medicare drug plan before you fill your prescription in order for the prescription to be covered by your plan. Prior authorization
The amount you must pay for health care or prescriptions before Original Medicare, your prescription drug plan, or your other insurance begins to pay. Deductible
A type of Medicare prescription drug coverage determination, a drug plan's decision to cover a drug that's not on its drug list or to waive a coverage rule Exception
A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Formulary
A complaint about the way your Medicare health plan or Medicare drug plan is giving care. Grievance
Health care that you get when you're admitted to a health care facility, like a hospital or skilled nursing facility. Inpatient care
The facilities, providers, and suppliers your health insurer or plan has contracted with to provide health care services. Network

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Healthcare Vocabulary Crossword

Type
Crossword
Description

This crossword contains the following questions and answers:

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

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EMPLOYEE APPRECIATION BINGO

Type
Bingo Cards
Description

These bingo cards contain the following answers:

CLAIMS
REFUND
BCBS
CIGNA
MEDICAID
AETNA
CODING DENIALS
SABINA
MARQUITA
BRAD
JEFF
WORKMENS COMP
CONSULTS VISIT
INVOICE
REFUNDS
NON COVERED CHARGES
HUMANA
DEDUCTIBLE
DIAGNOSIS
MEDICARE
MODIFIER
PLACE OF SERVICES
UNITED HEALTHCARE
CHARGES EXCEED

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