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Voluntary Healthcare Insurance

Teacher: Nanci Cross
Horizontales
Individual or entity that purchases healthcare insurance coverage
Computer software that is an internal check for consistency and accuracy
A type of insurance that fills in gaps in comprehensive insurance or Medicare benefits
Amount of money that policyholder must pay periodically for insurance
Entity that acts as an intermediary between providers and payers
Qualification or other specification that reduces or restricts the extent of the healthcare benefit
Person who is responsible for paying the medical bill
List of preferred drugs including brand name and generic
Healthcare agreement
Request for reconsideration of denial of coverage or rejection of claim.
Verticales
Itemized statement of services and cost submitted for payment.
The determination of the reimbursement payment based on the member's insurance benefits.
Process of identifying and classifying individuals' or groups risk
Document added to a healthcare insurance policy that provides details about coverage or lack of coverage for special situations that are not usually included in standard policies. May function as an exclusion or limitation.
Level of health care benefit
Means, usual, customary, reasonable
Type of private insurance policy available for Medicare beneficiaries to supplement Medicare