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Ch 16: Explanation of Benefits & Payment Adjudication

MED 1850

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Across
4.Determining which insurance will pay first or second (3 Words)
6.Like footnotes that tell you how a claim was paid and why (2 Words)
7.Document from insurance that explains how the claim was paid (3 Words)
11.A type of insuyrance payment that pays on a per member per month basis
13.The maximum amount an insurance will pay for a patient over the course of their lifetime (2 Words)
14.Services that are specificallu excluded from an insurance plan (2 Words)
Down
1.Billing the patient for the write-off amount (2 Words)
2.RBRVS
3.Your office must charges usual, _________________ , and reasonable rates
5.The money that a patient must pay for their medical services
8.This is the amount that you must write-off
9.A really fancy word for processing
10.What the insurance companies allows you to be paid (2 Words)
12.Sending a denied claim back to the insurance company with documents saying that they denied it incorrectly

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