Financial Management Flashcards
A bed patient in a hospital is called a(n)
Inpatient
A person who represents either party of an insurance claim is the
Adjuster
A request for payment under an insurance contractor bond is called a(n)
Claim
Payment made periodically to keep an insurance policy in force is called
Premium
A person or institution that gives medical care is a(n)
Provider
Benefits that are made in the form of cash payments are known as
Indemnity
An amount the insured must pay before policy benefits begin is called
Deductible
An organization that offers health insurance at a fixed monthly premium with little or no deductible and works through a primary care provider is called a(n)
Health maintenance organization
Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or disabilities is called
Catastrophic
A patient receiving ambulatory care at a hospital or other health facility without being admitted as a bed patient is called a(n)
Outpatient
An injury that prevents a worker from performing one or more of the regular functions of his job would be known as a
Partial Disability
A previous injury, disease, or physical condition that existed before the health insurance policy was issued is called
Preexisting Condition
One who belongs to group insurance plan is called
Subscriber
A sum of money provided in an insurance policy, payable for covered services is called
Benefits
To prevent the insured from receiving a duplicate payment for losses under more than one insurance policy is called
Coordination of Benefits
When a patient has health insurance, the percentage of covered services that is the responsibility of the patient to pay is known as
Coinsurance
Insurance that is meant to offset medical expenses resulting from a catastrophic illness is called
Major medical
An unexpected event which may cause injury is called
Accident
A doctor who agrees to accept an insurance companies pre-established fee as the maximum amount to be collected is called
Participating Physician
Insurance plans that pay a physician’s full charged for the service is called
Usual, customary and reasonable
A notice of insurance claim or proof of loss must be fixed within a designated ______ or it can be denied
Time limit
A health program for people age 65 and older under social security is called
Medicare
A civilian health and medical program of the uniform services is called
Tri-care
A form of insurance paid by the employer providing cash benefits to workers injured or disabled in the course of employment is called
Workers’ Compensation
