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HEALTH lNSURANCE SPEClALlST CAREER
lNTRODUCTlON TO HEALTH lNSURANCE
MANAGED HEALTH CARE
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0ffice City 11350 Medical Drive ACNT American Medical Association ASSlGNMENT BCBS billing Block breast Choice Review cholecystectomy CLAIM TOTAL CMS-1500 claim form CMS-1500 Claims Completion Code Diagnosis Code coinsurance copayment coverage Date Code Charge Date of Birth Description of Procedure diabetes diabetes mellitus Diagnosis Code Diagnosis Code Diagnosis DIAGNOSIS INFORMATION Diagnosis document encounter form exam facility fracture HCPCS HCPCS codes HCPCS level health insurance health plan HICN HIPAA hospital hypertension Index to Diseases inpatient INSURANCE INFORMATION Internet interview job search lnsurance Plan lD locate managed Medicaid medical necessity Medicare Multiple Choice Review National Provider Identifier outpatient PATIENT INFORMATION Patient Number Patient Status payer payment physician Place of Service Primary lnsurance Plan Primary Policyholder PROCEDURE INFORMATION Description Procedure or Service professional provider PT RESP pterygium reimbursement Relationship to Patient remittance advice Secondary lnsurance Plan Secondary Policyholder Spouse's Employer surgery TRICARE x-ray Zip Code