CBCS: Module 1 Vocab Matching
| The maximum amount an insurance company will pay for the service for the service, procedure, or supply |
| Patient responsibility portion of a health insurance plan defined by the payer (INC. annual deductible, copay, and coinsurance amounts) |
| Flat, fixed amount that a patient pays for specific services (ex. office emergency department encounters) |
| Billing patterns and practices that are excessive or unnecessary but not fraudulent |
| Annual amount the patient must pay before the insurance will begin to pay for covered benefits |
| Predetermined percentage the patient is responsible to pay for covered services once the annual deductible has been met |
| Person eligible to receive benefits for covered services once the annual deductible has been met |
| Document that captures diagnoses or procedure codes for the services provided during the patient's encounter (electronic or paper format) |
| electronic data interchange (EDI) |
| Computer technology that contains the exchange of data between the health care provider and payer |
| Protected Health Information |
| Individually Identifiable Patient Information |
0:00
