Matching
Match the insurance term to its correct definition.
Premises:
official card indicating who is covered for benefits
amount of money the policyholder pays to keep the policy in force
person authorized to receive payment of a claim
person other than the policyholder who is a member of the plan
covers injuries while fulfilling one's occupation
group contract for lower-than-normal fees for patient but increased patient numbers for the dentist
all services covered by the plan
contains information to be submitted for benefit payment
person who makes payment but is not part of the patient-provider contract
amount to be paid by policyholder before benefits are paid
plan by which two insurance companies pay on the same claim
determined through survey and research of local dentists' fees
hospital and physician care for registered elderly
set amount for a specific service, which the dentist accepts as full payment
request sent prior to treatment to determine amount of payment
provides a number for each specific treatment
specific amount paid for a specific service, the remainder for which a patient is responsible
stipulated payment allotment to the provider regardless of number of procedures completed
care for low-income or other qualified persons
amount the policyholder must pay on each claim
preprinted form containing procedure numbers and services rendered to a patient
a service not listed in the plan
company that does the insuring
the largest amount paid in a specified time period
authorization to pay benefits to the dentist
a 12-month period set by the company for accounting purposes
Responses:
usual, customary, reasonable fee
superbill
beneficiary
deductible
health maintenance organization
carrier
preferred provider organization
claim form
Medicaid
certificate of eligibility
premium
table of allowance
maximum benefits
Medicare
fiscal year
exclusion
coordination of benefits
workers' compensation
dependent
fixed fee
pre-authorization
copayment
approved services
assignment of insurance benefits
third party
procedural code
Correct Answer:
Premises:
Responses:
official card indicating who is covered for benefits
amount of money the policyholder pays to keep the policy in force
person authorized to receive payment of a claim
person other than the policyholder who is a member of the plan
covers injuries while fulfilling one's occupation
group contract for lower-than-normal fees for patient but increased patient numbers for the dentist
all services covered by the plan
contains information to be submitted for benefit payment
person who makes payment but is not part of the patient-provider contract
amount to be paid by policyholder before benefits are paid
plan by which two insurance companies pay on the same claim
determined through survey and research of local dentists' fees
hospital and physician care for registered elderly
set amount for a specific service, which the dentist accepts as full payment
request sent prior to treatment to determine amount of payment
provides a number for each specific treatment
specific amount paid for a specific service, the remainder for which a patient is responsible
stipulated payment allotment to the provider regardless of number of procedures completed
care for low-income or other qualified persons
amount the policyholder must pay on each claim
preprinted form containing procedure numbers and services rendered to a patient
a service not listed in the plan
company that does the insuring
the largest amount paid in a specified time period
authorization to pay benefits to the dentist
a 12-month period set by the company for accounting purposes
Premises:
official card indicating who is covered for benefits
amount of money the policyholder pays to keep the policy in force
person authorized to receive payment of a claim
person other than the policyholder who is a member of the plan
covers injuries while fulfilling one's occupation
group contract for lower-than-normal fees for patient but increased patient numbers for the dentist
all services covered by the plan
contains information to be submitted for benefit payment
person who makes payment but is not part of the patient-provider contract
amount to be paid by policyholder before benefits are paid
plan by which two insurance companies pay on the same claim
determined through survey and research of local dentists' fees
hospital and physician care for registered elderly
set amount for a specific service, which the dentist accepts as full payment
request sent prior to treatment to determine amount of payment
provides a number for each specific treatment
specific amount paid for a specific service, the remainder for which a patient is responsible
stipulated payment allotment to the provider regardless of number of procedures completed
care for low-income or other qualified persons
amount the policyholder must pay on each claim
preprinted form containing procedure numbers and services rendered to a patient
a service not listed in the plan
company that does the insuring
the largest amount paid in a specified time period
authorization to pay benefits to the dentist
a 12-month period set by the company for accounting purposes
Responses:
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