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SPH Rev Cycle Crossword

Horizontales
Collection of hospitals, doctors, and other services all organized under one network
Insurance companies and hospitals watch their costs and quality by having medical personnel review select medical cases.
An insurance company's decision to withhold a claim payment
Doctor you choose to provide basic health care
The most that your insurance will pay for a service
Federal program that insures elderly and disabled primarily
A request to your insurance company to pay for a service
Most you pay during a year before you health plan covers 100%
The facilities, providers, labs, hospitals, and pharmacies that your health plan has contracts with to provide care
Allows former employees, retirees, and their dependents to keep existing health coverage at group rates
Verticales
The fee you pay to have insurance
Amount you pay for covered health care services before insurance starts to pay
Written contract between a policy holder and the insurance company
Kind of network with several cost levels
Process where health plan must approve coverage for a service that your provider requests
Annual time period during which you can change health plans under your employers group plan.
Percentage of allowed amount for a service
The scope of protection provided by an insurance contract which includes listed benefits in an insurance policy
Insurance companies contract with doctors, hospitals, and other providers to form a "network"
Fixed amount that you pay for a service