Chpt: 6 Medical Insurance, Billing and Coding

Assignment of Benefits

Beneficiary

Birthday Rule

Capitation

Clearinghouse

Coordination of benefits

Fee schedule

Formulary

Guarantor

Preauthorization

Precertification

Premium

Deductible

Copayment

Co-insurance

Professional courtesy

Referral

Rider

UCR

Worker's Compensation

Group

Individual

Indemnity

Health Maintenance Organization (HMO)

Preferred Provider Organization (PPO)

Exclusive Provider Organization (EPO)

Independent Practice Association (IPA)

Medicare

Medicare Part A

Medicare Part B

Medicare Part C

Medicare Part D

Medicaid

Children's Health Insurance Program (CHIP)

TRICARE

CHAMPVA

Liability

Life

Consultation

New patient