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Insurance Terms: Premiums, Coinsurance, Deductibles, Audits, and Providers, Quizzes of Medical Records

Definitions for various insurance terms including premiums, coinsurance, deductibles, prepayment audits, point-of-service (pos), write-offs, pay-to-provider, billing provider, and ambulatory care.

Typology: Quizzes

2017/2018

Uploaded on 12/28/2018

wendolyne-saenz
wendolyne-saenz 🇺🇸

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TERM 1
What is a premium?
DEFINITION 1
A periodic payment the insured is required to make to keep a
policy in effect
TERM 2
What is a coinsurance?
DEFINITION 2
the percentage of each claim that the insured pays
TERM 3
What is a deductible?
DEFINITION 3
the amount that the insured pays on covered services before
benefits begin
TERM 4
What type of external audit is conducted
before claims are processed?
DEFINITION 4
prepayment
TERM 5
What is another name for POS?
DEFINITION 5
another name for point-of-service is open HMO
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TERM 1

What is a premium?

DEFINITION 1

A periodic payment the insured is required to make to keep a

policy in effect

TERM 2

What is a coinsurance?

DEFINITION 2

the percentage of each claim that the insured pays

TERM 3

What is a deductible?

DEFINITION 3

the amount that the insured pays on covered services before

benefits begin

TERM 4

What type of external audit is conducted

before claims are processed?

DEFINITION 4

prepayment

TERM 5

What is another name for POS?

DEFINITION 5

another name for point-of-service is open HMO

TERM 6

What is another word for contractual

adjustment?

DEFINITION 6

Write-off

TERM 7

Who is the pay-to-provider?

DEFINITION 7

Is an individual that receives payment for claims

TERM 8

Who is the billing

provider?

DEFINITION 8

the provider of health services

TERM 9

What is another word for outpatient care

services?

DEFINITION 9

Ambulatory care