MBC Q-Z

When one provider (usually a family doctor) refers a patient to another provider (typically a specialist

• retainer
• referral
• reference
• retrieve

A document supplied by the insurance payor with information on claims submitted for payment

• Remittance advice
• referral
• reminder
• receivable

The person responsible for paying a patient's medical bill. Also referred to as the guarantor

• receiver
• retainer
• remittance advice
• responsible party

When a patient sees a specialist without a primary physician referral. 

• self acceptance
• self referral
• self pay
• self renewal

claim for insurance coverage paid after the primary insurance makes payment

• secondary insurance claim
• secondary coverage claim
• secondary procedure claim
• secondary payment claim

When a second CPT procedure is performed during the same physician visit as the primary procedure

• secondary claim
• secondary coverage
• secondary procedure
• secondary payment

difference between what the physician charges and what the insurance plan contractually allows and the patient is not responsible for.

• write off
• remittance advice
• relevance
• removal

Insurance claim that results from a work related injury or​  illness. 

• Tri care
• TRA
• Workers comp
• Work VA

physician who specializes in a specific area of medicine

• Expert
• Expertise
• Specialist
• specifics

Contains explanations for rejected or denied claims.

• R/A
• RPA
• RNA
• RDA