
MOA Unit 7 (Chapter 27) Key Terms
Flashcard
•
Other
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9th - 12th Grade
•
Practice Problem
•
Hard
Ricki Caldwell
FREE Resource
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18 questions
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1.
FLASHCARD QUESTION
Front
Managed Care
Back
A system that helps people get health care at a lower cost by working with certain doctors and hospitals. Includes referrals and precertification.
2.
FLASHCARD QUESTION
Front
Referrals
Back
When a primary care doctor sends a patient to a specialist for specific care.
3.
FLASHCARD QUESTION
Front
Precertification
Back
Getting approval from the insurance company before receiving certain medical services.
4.
FLASHCARD QUESTION
Front
Patient’s Billing Record
Back
Contains information like patient details, insurance information, services provided, charges, payments, and adjustments.
5.
FLASHCARD QUESTION
Front
Patient Financial Obligations
Back
The amount a patient has to pay, including deductibles, coinsurance, and copayments.
6.
FLASHCARD QUESTION
Front
Third-Party Plans
Back
Insurance plans provided by companies other than the patient or provider, like private insurance companies, Medicare, and Medicaid. Information required includes patient details, insurance information, services provided, and charges.
7.
FLASHCARD QUESTION
Front
Steps for Filing a Claim
Back
Verify coverage, complete claim form, attach necessary documents, and submit to the insurer.
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