Medicare
Medicare Replacements
Medicare Supplements
Review
Insurance Terms
100
A combination of letters and numbers randomly assigned to the patient. 

What is the policy number?

100

The insurance plan that will not be listed as a payer on the encounter if the patient has a Medicare advantage plan.

What is Medicare?

100

The percentage of the claim paid by a Medicare supplement insurance. 

What is 20%?

100

The WMMC specific program that offers the patient a significant discount for paying the cost of services at the time of service.

What is cash pay?

100

A person that who pays out-of-pocket for healthcare services in absence of insurance. 

What is Self-pay?

200
The part of Medicare that represents outpatient insurance coverage.

What is part B?

200

The part of Medicare benefits that represents an advantage plan.

What is Medicare Part C

200

The sequence of insurances with a Medicare supplement insurance. 

What is Medicare primary, supplement secondary?

200

The numbers on a policy number that indicate who the subscriber of the insurance is and should be included when entering the policy number in Cerner.

What is a suffix?

200

The policyholder of the insurance.

What is the subscriber?

300

A required questionnaire to determine the primary insurance payer for Medicare.

What is the MSP Questionnaire?

300

The patient benefit of selecting a Medicare Advantage plan.

What is Medical and prescription drug coverage from one insurance payer?

300

The group number for a Medicare supplement insurance. 

What is the Plan letter?

300
Insurance policy that returns ineligible insurance results and should be removed from the encounter. 
What is inactive or expired insurance?
300

The number the insurance company assigns the patient to identify the patient's insurance coverage contract.

What is the policy number?

400

The 4 straight Medicare options available in Cerner. 

What is Medicare, Medicare Part A Only, Medicare Part B, Medicare Railroad?

400

The indication on an insurance card that the plan is a Medicare Replacement policy.

What is MedicareRx?

400

An example of a Medicare supplement insurance. 

What is AARP Medicare Supplement?
What is Old Surety Life Insurance?
What is Aetna Medicare Supplement?
What is MOO?

400

Location to make notes pertaining to the encounter to communicate with others accessing the encounter. 

What is encounter comments?

400

A fixed amount the patient pays for a covered healthcare service that should be collected at time of service.

What is a copay?

500

The criterial to be eligible for Medicare. 

What is 65+, disability, and end stage renal disease?

500

The Medicare Advantage insurance that should have Medicaid as a secondary insurance payer listed on the encounter. 

What is United Healthcare Dual Complete?

500

The other term used to identify a Medicare supplement insurance. 

What is Medigap?
500

The 3 different Medicare insurances a patient could have.

What is straight Medicare, Medicare Advantage and Medicare Supplement?


500

The person that is financially responsible for the bill. 

What is a Guarantor?