Insurance Basics
HMO's
Abbreviations
Starting with "C"
Healthcare Modifiers
100
Financial plan that covers the cost of hospital and medical care.
What is Medical Insurance
100
A fixed prepayment covering provider's services for a plan member for a specified period.
What is Capitation
100
PCP
What is Primary Care Physician
100
Health plan; also known as insurance company payer, or third-party payer.
What is Carrier
100
Right foot, fourth digit
What is T8
200
Person who buys an insurance plan.
Who is a Policyholder
200
Prior authorization from a payer for services to be provided.
What is Preauthorization
200
PMPM
What is Per member Per month
200
The movement of monies into or out of a business.
What is Cash flow
200
Left foot, second digit
What is T1
300
Individual or group plan that provides or pays for medical care.
What is Health plan
300
Amount paid at the time of a doctors visit
What is copayment
300
PPO
What is Preferred provider organization
300
A three-digit code used for classifying a disease or condition.
What is Category
300
Upper right, eyelid
What is E3
400
Health plan payments for covered services.
What is benefits
400
Providers must prescribe grugs for patients only from the HMO's list
What is controlling drug costs
400
CDHP
What is consumer-driven health plan
400
Term for a Bluecross Blueshield medical insurance policy.
What is Certificate
400
Right hand, thumb
What is F5
500
health plan or program.
What is payer
500
Paid before the patients visit.
What is capitated rate
500
OCR
What is Office for civil rights
500
A hospital's list of codes and charges for its services.
What is Charge master
500
Left circumflex coronary artery
What is LC
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