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INSURANCE REVIEW

Terms

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HOW MANY ILLNESSES OR INJURIES CAN BE PUT ON INSURANCE CLAIM
FOUR
WHEN MA IS COMPLETING HCFA FOR FOR OPTICAL CHARACTER RECOGNITION SCANNING HOW SHOULD SHE DO IT
ALL UPPER CASE LETTERS
EXAMPLES OF INSURANCE BENEFITS
SURGICAL,HOSPITAL AND VISION
WHO IS INSURER/CARRIER
INSURANCE COMPANY-THIRD PARTY THAT PAYS MEDICARE
DEFINE CARRIER
INSURANCE COMPANY THAT SELLS INSURANCE
DEFINE BENEFICIARY
SOMEONE WHO IS DENOTED BY POLICY HOLDER TO RECEIVE POLICY BENEFITS
IF COVERED BY MEDI/MEDI WHERE DOES CLAIM GO
MEDICARE
SUPERBILL
COMBINES CHARGES FOR SERVICES WITH PT INFO
WHEN INJURED AT WORK WHERE IS THE CLAIM SENT
WORKMEN'S COMP
WHO DOES BC/BS SEND PYMENTS
PARTICIPATING PHYSICIANS MEMBERS
DEFINE PROVIDER
FACILITY OR PERSON THAT GIVES CARE
RIDER
CONTRACTED CLAUSE THAT IDENTIFIES ADDITIONAL COVERAGE CLASS BEYOND WHAT IS STANDARD
EX OF PROCEDURAL MISTAKE WHEN FILING AN INS FORM
WRONG CODE
WHO IS INSURED
POLICY CARRIER
80% OF ALLOWED CHARGES ARE
CARRIER DETERMINES WHAT THE ALLOW IS AND PAYS 80%
SPECIAL CLASS POLICY
FOR PEOPLE WHO CANNOT QUALIFY FOR A STANDARD POLICY BECAUSE OF HEALTH REASONS
INSURANCE FRAUD
PUTTING DIFFERENT DIAGNOSISON FORM,RAISING FEE&ADDING TREATMENT NOT IN CHART
LIABILITY
INS THAT COVERS INJURY THAT ARE CAUSED BY INSURED OR ON THE PROPERTY OF
CROSSOVER CLAIM
?
CO-INSURANCE
PATIENT GUARANTEE OF PAYMENT

Deck Info

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