Financial Clearance Week Crossword Puzzle

QUESTIONS LIST:

• financial navigator : person who checks benefits, creates estimates, and helps with self pay patients
• financial assistance : help provided to a patient to cover expenses.
• deductible : a specified amount of money that the insured must pay before an insurance company will pay on a claim.
• coinsurance : the percentage of a covered health costs you are responsible for paying after you have met the deductible.
• out of pocket : total amount you will pay for your share of medical expenses, including deductibles, coinsurances, and copays.
• predetermination : process where the insurance company reviews medical procedure before it is provided to see if it meets medical necessity.
• medicaid eligibility : depends on factors like income, household size, age, disability, and whether a state has expanded medicaid coverage.
• estimate : rough or exact cost of a procedure/imaging/ doctor visit
• market place : where patients can shop/enroll in health insurance plans
• copay : a fixed amount made by an insured person toward the cost of a medical treatment / doctor’s visit.
• peer to peer : telephone conversation between provider and health care provider to discuss a denial.
• denial : refusal of an insurance health plan to approve/cover cost of medical services.
• self pay : paying for medical services with no insurance
• appeal : formal process started by the healthcare provider to challenge a denied claim.