The claims process begins

When an agreement exists between provider and insurance carrier whereby the provider agrees to accept the payer’s allowed fee as payment in full and cannot bill the patient for the difference between what is charged and what the insurance carrier allows, this is referred to as a/an

The total amount of money collected divided by the total amount charged is called the _______________ ratio.

When a patient psychologically or physically loses his or her ability to perform normal job duties at the previous level of expertise as a result of being absent from work, it is called

The primary federal insurance program that protects workers from loss of income as a result of disability and provides monthly cash benefits to disabled workers younger than age 65 and to certain of their dependents is

Payment to an insured individual for a covered expense or loss experienced by or on behalf of the insured is referred to as

It is recommended that for offices filing paper claims, some sort of claims tracking system be utilized to track claims—the textbook suggests a(n)

The government program that provides monthly cash payments to low-income aged (65 and older), blind, and disabled individuals

The prospective payment system (PPS) is a Medicare’s system for reimbursing Part A inpatient hospital costs where the amount of payment is determined by the assigned

Which of the following groups is not eligible for TRICARE Prime, Standard, Extra or TRICARE For Life (TFL)?