Just Benefits

There are two kinds of procedure codes. These are...

• HCPCS

• ICD-10

• CPT

• NDC

It is still necessary to ask for the IVR Disclaimer when checking Benefits

• True

• False

What is a Fee Schedule?

• This is a set date and time for the said medical procedure

• This is the set date and time for medical fees to be collected

• This is the specific price of a medical procedure

• This is a specific price of a medical prescription

I provide medical care.

People need to ask for permission before going to someone else

I only go to those I am connected to.

Who am I?

• HMO

• PPO

• EPO

• POS

• FFS

It doesn't matter whether I'm friends with your friends.

You don't have to ask permission if you're going somewhere

Who am I?

• EPO

• HMO

• PPO

• POS

• FFS

This pertains to whether a provider or facility is contracted with the medical plan.

• Particpation Status

• Valid and Billable

• Copay

• Deductible

I need to see your efforts first before I start taking care of you. Who am I?

• Deductible

• Copay

• Coinsurance

• Out of Pocket

Just shoulder our pamasahe. I'll take care of the rest.

Who am I?

• deductible

• copay

• coinsurance

• out of pocket max

I can sometimes be strict. I can sometimes be loose.

It all depends how you want to help you.

Who am I?

• HMO

• EPO

• PPO

• POS

• FFS

I don't just go and be with anyone. I am exclusive to a specific circle only.

Who am I?

• HMO

• PPO

• EPO

• POS

• FFS