This is a health care professional who is trained to provide medical services.
What is a Provider?
Filipina singer and theater actress hailed as a Disney Legend; provided the singing voice for both Mulan and Princess Jasmine.
Who is Lea Salonga?
This is a request of payment that a healthcare provider submits to the insurance for services that may or may not be covered.
What is a claim?
The longest-running cartoon of all time, premiering in 1989 and features satirical story of a family living in the fictional town of Springfield.
What is The Simpsons?
This is mainly a federal program that helps with medical costs for people who may have limited resources.
What is Medicare?
These is a health care item or service covered under a health plan.
What is a benefit?
Composed of members Louis Tomlinson, Niall Horan, Harry Styles, Liam Payne, and Zayn Malik; the first British pop group to reach the top spot on the US Billboard 200 with their debut album.
What is One Direction?
This is a summary of items or services that a plan will pay for.
What is Evidence of Coverage?
The late creator of the hit cartoon SpongeBob SquarePants, who first started his career as a marine biologist before switching to animation.
Who is Stephen Hillenburg?
This is a way for a planholder to show their displeasure and dissatisfaction towards a medical service or experience.
What is a grievance?
He was the United States President who signed the Health Insurance Portability and Accountability Act of 1996.
Who is Bill Clinton?
The lead singer of the British band Queen, who was the subject of the 2018 biopic "Bohemian Rhapsody".
Who is Freddie Mercury?
This is a type of cost sharing where costs are split on a percentage basis.
What is coinsurance?
This is the first animated feature film ever released, about a princess who got lost in the forest and meets vertically-challenged friends.
What is Snow White and the Seven Dwarfs?
This is a type of cost sharing where members pay a fixed amount for each service?
What is copay?
This refers to a fixed amount that planholders must satisfy before a health plan becomes effective.
What is a deductible?
This is the top-selling album of all-time, released by Michael Jackson, which features a song with a music video about dancing zombies.
What is Thriller?
This refers to a medical expense that a planholder may need to pay after insurance has already paid.
What is out-of-pocket cost?
British actor known for playing Agent 007/James Bond in the movies such as Casino Royale, Quantum of Solace, and Skyfall.
Who is Daniel Craig?
This is a term used to refer to the way health plans share health care costs with planholders.
What is Cost Sharing?
This is a requirement to contact the health plan provider to request and/or ensure coverage for services that are not covered by the plan.
What is a Prior Authorization?
She initially started her career in country music before switching to pop; named Billboard's Woman of the Decade for the 2010's.
Who is Taylor Swift?
This is a written explanation provided by the health plan, showing what has been paid under a planholder's insurance.
What is Explanation of Benefits?
A feature film about a realistic board game, originally starring Robin Williams, and The Rock starring in the sequel called "Welcome to the Jungle".
What is Jumanji?
This is an action that a planholder may take to request an overturn of a denied prior authorization.
What is an appeal?