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Demography Terminology

Horizontales
The person or entity that is financially responsible for charges related to an encounter
The specific set of benefits that the patient holds
Provided by insurance payers to denote that they approve of and will reimburse for a procedure
A grouping of payers for financial reporting (AKA Financial Status Classification)
Assigned to insurance plans by a payer to denote the employer that sponsors the plan
Process by which the correct clinical information is assigned to an encounter
System used by USAP to complete initial demography and coding workflows on encounters
Software company that contracts with USAP to provide the MDClaim and RCMLinx services
Verticales
A one page summary of important information about the patient
Process by which the correct patient identification and insurance information is assigned to an encounter
Unique ID assigned by a payer to identify each individual or account
Document that denotes the clinical information related to anesthesia services
System used by providers to capture encounter documentation that is then sent to RCMLinx
Line item in RCMLinx that contains the information for a medical encounter
Unique ID that allows USAP staff to track a ticket between RCMLinx and other software systems (AKA Server Internal Number)
Group of offshore workers that contract with USAP to complete various workflows or tasks
System used by providers to capture encounter documentation that is then sent to RCMLinx