HIT Chapter 6 Vocabulary
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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Administrative Services Organization (ASO) | show 🗑
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Autonomy | show 🗑
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show | plan that includes hospital room and board, inpatient hospital care, some hospital services and supplies, surgery, and some physician visits.
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BlueCard program | show 🗑
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BlueCard worldwide | show 🗑
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show | largest employer-sponsored group health insurance program in the world; allows eligible members to have access to various types of plans including FFS, PPO, POS, and HMO.
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Coinsurance | show 🗑
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Commercial Health Insurance | show 🗑
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show | plan that combines the coverage of basic health and major medical insurance plans
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show | charges incurred that qualify for reimbursement under the terms of the policy contract
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show | yearly out of pocket payments made by the patient before the health insurance carrier begins to contribute
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Explanation of Benefits (EOB) | show 🗑
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show | government health insurance program that provides coverage for its own civilian employees
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Fee-for-service (FFS)/Indemnity plan | show 🗑
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show | a commercial insurer that contracts with the DHHS for the purpose of processing and administering Part A Medicare claims for reimbursement of health coverage.
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show | a contract between an insurance company and an employer that covers eligible employees or members
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Healthcare Service Plans | show 🗑
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Health insurance policy premium | show 🗑
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Health Maintenance Organization (HMO) | show 🗑
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show | the amount of money the policyholder has to pay out of pocket for any one incident or in any one year
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Lifetime maximum cap | show 🗑
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Major medical insurance | show 🗑
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Managed Care Plan | show 🗑
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Medicare supplement plans | show 🗑
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show | amount of pension employees do not give up when quitting or retiring
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show | a provider who signs a contractual arrangement with a third-party insurance contractor and agrees to accept the amount paid by the carrier as payment in full
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Point-of-service plan (POS) | show 🗑
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Policyholder | show 🗑
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show | a network of physicians that provide medical services at a discount to the individuals who participate in the PPO
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Reasonable and customary fee | show 🗑
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Self-insured/self-insurance | show 🗑
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Single or Specialty service plans | show 🗑
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show | protection from the devastating effect of exorbitant medical claims resulting from prolonged and intense medical services due to catastrophic illness or injury
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show | another example of single or specialty coverage. Add-on coverage such as vision, dental, or prescription drug coverage
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show | any organization that provides payment for specified coverages provided under the health plan
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Third-party administration(TPA) | show 🗑
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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