Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/5

Click to flip

5 Cards in this Set

  • Front
  • Back
Adjudicate
Automatic processing of claims by the system with no human interaction
ASO
For a fee, BCC administers claims,benefits and other administrative functions, for a self-insured group.This type of arrangement usually requires the employer to be at risk for the cost of health care services provided.
CAPITATION
A monthly prepayment fee to compensate the PMG or IPA for covered medical services.It is determinted by the age and gender of the member and based on the benefit agreement issued to the subscriber.
SPI
Special instruction.It documents unique conditions which are not included in other types of LL records.
COB
Coordination of BEnefits. Member has 2 insurances.