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11 Cards in this Set

  • Front
  • Back

Carrier

Insurance company that sells or administers insurance contract

TRICARE

Insurance company that covers active duty military personnel

Blue Cross/Blue Shield

Is not a government sponsored program

Who is eligible for Medicaid?

Persons receiving SSI who are aged or are disabled

Coordination of Benefits

Insurance policy clause that restricts overpayment of benefits when the insured has more than one policy

Funded by both Federal and State Revenues

Medicaid

Write off

When physician accepts assignment, Insurance reimbursement payment is considered full, medical practice does not bill patient for balance and adjusts patient account

CMS-1500

Universal Claim Form

Posting

The transferring of info from one finanvial record to another

Ledger

An individual record of all changes, payments, and adjustments is called a:

Co-payment

The amount the patient must pay at time of office visit, ER visit, Pharmacy, or outpatient services