Matching
Match the following terms with their definitions.
Premises:
Payer's payment for specific health care services or, in managed care, the health care services that will be provided or for which the provider will be paid
Party who is financially responsible for reimbursement to providers of health care costs for services rendered
Amount of cost that the beneficiary must incur before the insurance will assume liability for the remaining cost
Contractor that manages the health care claims, particularly for government-funded programs
Request for payment by the insured or the provider for services covered
One who is eligible to receive or is receiving benefits from an insurance policy or a managed care program
Responses:
Benefit
Payer
Beneficiary
Claim
Fiscal intermediary
Deductible
Correct Answer:
Premises:
Responses:
Payer's payment for specific health care services or, in managed care, the health care services that will be provided or for which the provider will be paid
Party who is financially responsible for reimbursement to providers of health care costs for services rendered
Amount of cost that the beneficiary must incur before the insurance will assume liability for the remaining cost
Contractor that manages the health care claims, particularly for government-funded programs
Request for payment by the insured or the provider for services covered
One who is eligible to receive or is receiving benefits from an insurance policy or a managed care program
Premises:
Payer's payment for specific health care services or, in managed care, the health care services that will be provided or for which the provider will be paid
Party who is financially responsible for reimbursement to providers of health care costs for services rendered
Amount of cost that the beneficiary must incur before the insurance will assume liability for the remaining cost
Contractor that manages the health care claims, particularly for government-funded programs
Request for payment by the insured or the provider for services covered
One who is eligible to receive or is receiving benefits from an insurance policy or a managed care program
Responses:
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