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Usual, customary and reasonable
A notice of insurance claim or proof must be filed within a designated........... or it can be
denied
Time limit
A health program for People agen65 and older under social security is called...
Medicare
A civilian health and medical program of the uniform services is called
Tri-care
A form of insurance paid by the employer providing cash benefitis to workers injured or
disabled in the course of employment is called...
Worker's compensation
A recap sheet that accompanies a Medicare or Medicaid check, showing breakdown and
explanation of payment on a claim is called...
Explanation of benefits
A type of insurance whereby the insured pays a specific amount per unit if service and the
insurer pays the rest of the cost is called...
Co-payment
In insurance,greater coverage of diseases or an accident, and greater indemnity payments in
comparison with a limited clause is called...
Comprehensive
A rider added to a policy to provide additional benefits for certain conditions is called...
Dread disease rider
An interval after a payment is due to the insurance company in which the policy holder may
make payments, and still the policy remains in efect is called...
Grace period
An agreement by which a patient assigns to another party the right to receive payment from a
third party for the service the patient has received is called...
Assignment of benefits
A skilled nursing facility for patients receiving specialized care after discharge from a hospital
is called...
Extended care facility