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11 Cards in this Set
- Front
- Back
Carrier |
Insurance company that sells or administers insurance contract |
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TRICARE |
Insurance company that covers active duty military personnel |
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Blue Cross/Blue Shield |
Is not a government sponsored program |
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Who is eligible for Medicaid? |
Persons receiving SSI who are aged or are disabled |
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Coordination of Benefits |
Insurance policy clause that restricts overpayment of benefits when the insured has more than one policy |
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Funded by both Federal and State Revenues |
Medicaid |
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Write off |
When physician accepts assignment, Insurance reimbursement payment is considered full, medical practice does not bill patient for balance and adjusts patient account |
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CMS-1500 |
Universal Claim Form |
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Posting |
The transferring of info from one finanvial record to another |
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Ledger |
An individual record of all changes, payments, and adjustments is called a: |
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Co-payment |
The amount the patient must pay at time of office visit, ER visit, Pharmacy, or outpatient services |