Medical Billing and Coding Crossword

a list of medications that will be covered under the insurance plan
a primary care provider who refers patients to other providers for services he/she cannot perform
a physician who substitutes for the patients regualr physician
the process of establishing the medical need for medical services
person who owns a health insurance policy
10-digit identification number assigned to health care providers by the Center of Medicare and Medcaid Services
gatekeeper provider who refers patients to other providers for services he/she cannot perform
the insurance carrier responsible for paying benefits before any other insurer makes a payment
the insurance policy billed first for any health care service
the insurance carrier billed for costs that were not covered by the primary payer
billing seperately for related procedures that were performed together and by law, must be one charge
a physician to whom the patient is expected to pay charges before submitting the claim to the insurance company, which pays the patient directly
a provider who has a contractual agreement with an insurance plan to render care to eligible beneficiaries and then bill the insurance carrie directly
Federal law passed to create a market for puchase of health care insurance policies and mandates and incentives to decrease the number of uninsured Americans
insurance plan in which a patient may choose an HMO or a non-HMO provider
requirement to obtain prior approval for surgery or procedures from the insurance carrier in order to recieve reimbursement
the amount insurance companies consider to be an appropriate fee for a given service
patients written authorization giving the insurance company the right to pay the physician directly for billed charges
a person who is eligible for coverage by government health policies
used to determin which parent's benefit plan will pay for the medical bills of dependent child when the child is covered by both parent's
procedures to prevent duplication of payment by more than one insurance carrier
family member of a health plan member