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13 Cards in this Set
- Front
- Back
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Accept assignment
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The term used to indicate that the insurance carrier is to pay the health care provider directly
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Birthday rule
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the rule used to determine the primary insurance policy for a minor child covered by policies from both parents
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Dependent
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an individual who is covered under someone else's insurance policy; very often this is a spouse or child, but not always
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Group number or name
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A number or name assigned to a specific group of insured people--most often, those working for the same company, used to identify the individual as a member of that group
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Guarantor
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the same as the responsible party
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ID number
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a number that identifies a particular insurance policy as belonging to a particular individual
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Insured person
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the same as the policyholder
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Policyholder
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the person who gets the insurance policy directly or through their employer
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Policy number
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the same as the ID number
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Primary insurance policy
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the insurance policy that gets billed for services first
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Referring provider
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a health care provider who recommends that a patient see another health care provider for more specific treatment
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Responsible party
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the person who guarantees payment of any charges not paid for by the insurance company
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Secondary insurance policy
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the insurance policy that will consider paying any charges not paid by the primary insurance policy for a particular health care event
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