Abbreviations
Insurance
Patient Information
Filing
Legal Eagle
100

This is the abbreviation that stands for the breakdown of the costs associated with a patient's visit and shows what portion the patient is responsible for and what the insurance covered if anything. 

What is EOB?


100

This is the amount paid out of pocket before the insurance starts to actually pay any bills. 

What is a Deductible?

100
This is the term that means a patient who has been seen at some point within the past 3 years.

What is an Established Patient?

100

This is a sentence or rhyme used to help remember a process or a list of things

What is a mnemonic?

100

This is the term for a form used to allow someone other than the patient to act in the role of agent for the patient. It must be notarized to be valid. 

What is a Power of Attorney?

200

This is the abbreviation for a group of providers that have entered into contracts with an insurance carrier and have agreed to accept whatever payment the insurance carrier has said they would pay for each procedure. 

What is PPO?


200

This is the money a patient pays to have and keep their insurance coverage. 

What is a premium?

200

This is a patient who has been admitted to a healthcare facility of some kind. 

What is an inpatient?

200

This is a type of schedule where the provider's time is blocked when they are not available so no patients can schedule an appointment with them. 

What is a Matrix?

200

This is the term for the first diagnosis that a provider thinks may be applicable to the patient. After gathering all the necessary information, this will move to the final one of these. 

What is a provisional diagnosis?

300

This is the abbreviation for a type of insurance that will help you to maintain your health, but not necessarily improve it. :) 

What is HMO?

300

This is the amount paid by a patient at the time of service; usually a higher amount for specialists and emergency care. 

What is a co-payment?

300

This is the term that refers to a patient who has NOT been seen within the past 3 years but could have been seen prior to that but is still considered this.


What is a New Patient?

300

This is a paper used to mark the place of a file that has been removed. 

What is an Out Guide?

300

This is a term that means a provider follows up after sending a referral to ensure that the patient was seen and to find out what was done by the provider the patient was referred to. 

What is Continuity of Care?

400

This is the abbreviation that means the same thing as an examination and includes a patient's past healthcare as well as any current issues they are having. 

What is H&P?

400

This is the name of a form that is returned unpaid by the insurance company to the provider's office, usually because there was a mistake of some kind on the form. 

What is a rejected claim?

400

This is a term that means the structure of a population. For example, "The ____________ of the city of Salt Lake is comprised of many ethnic groups."

What is demographic?

400

This is a type of filing that utilizes letters; usually the last name of the patient first. 

What is alphabetical?

400

This is the term for the amount an insurance company will "allow" a provider to charge their patients.

What is an Allowed Charge?

500

This abbreviation means the system used to keep all patient information across the entire practice and usually includes scheduling, records, and a billing component. 

What is EMR?

500

This is the type of coverage that is offered by employers to their employees. Generally, the employer pays a portion and each employee is responsible for a portion as well. 

What is a group policy?


500

This is information about a patient that can only be gathered through observation. 

What is Objective Information?

500

This is the plan used by a facility or provider to ensure patient records are kept for the required time. 

What is a Retention Schedule?

500

This is a number, similar to a Social Security Number, that is used by an employer for legal documents such as taxes. 

What is an Employee Identification Number?

600

This is an abbreviation for the process of providing breathing and helping the heart to pump when a patient has lost consciousness and is unable to do so themselves. 

What is CPR?

600

This is a type of insurance purchased by an employer to cover their employees if something should happen while they are working that requires medical care. 

What is a Worker's Compensation policy?

600

This is the term that a patient may sue a provider or practice for if they refuse to see the patient for any purpose, including emergencies. 

What is abandonment?

600

This is a formal examination of a process, accounts, or records conducted either internally or externally. 

What is an audit?

600

These are conditions that are not covered by an insurance plan i.e. hearing aids. 

What is an Exclusion?