What Am I? Part 2

I am an acronym for a provider not contracted with the insurance carrier. My other name is Non-participating. What am I?

I am an acronym for a 10-digit identification number required by HIPAA. I am an identification for a certain provider/physician. What am I?

I am called the amount that the insured or their employer pays to the health insurance company for coverage. What am I? 

I am an acronym for a piece of patient information that is protected by HIPAA standard policy. I am called Protected Health Information. What am I?

I am called in the process of checking an insurance claim for errors prior to submitting it to the payer. What am I?

I am a term where the patient can see a specialist without a primary physician referral. What am I?

I am called a physician who specializes in a specific area of medicine. I am the one that a primary physician would refer to. What am I?

I am a term to describe the employee for group policies. What am I?

I am a medical term for a form the provider uses to document the treatment and diagnosis for a patient visit. What am I?

I am an insurance policy that covers claims deductibles and coinsurance. Sometimes, I am called secondary insurance. What am I?

I am called a date the insurance contract expired or the subscriber is not eligible. What am I?

I am called as an insurance coverage paid in addition to primary and secondary insurance. I am the one who will cover the gap if both of the insurance will not cover it. What am I?

I am an insurance that was offered for active duty military, NGR, retirees, their families, and survivors. What am I?

I am a term for a medical claim that was submitted after the time frame allowed by the insurance payer. What am I?

I am an acronym for a description of the category of service performed. One example is medical care or surgery. What am I?