Match the following

-The amount that a policyholder must pay for covered services before insurance benefits begin to pay
A) deductible
B) electronic remittance advice (ERA)
C) conversion factor
D) coinsurance
E) relative value unit
F) reason code
G) adjudication
H) copayment
I) withhold
J) allowed charge

Question

Match the following

-The amount that a policyholder must pay for covered services before insurance benefits begin to pay
A) deductible
B) electronic remittance advice (ERA)
C) conversion factor
D) coinsurance
E) relative value unit
F) reason code
G) adjudication
H) copayment
I) withhold
J) allowed charge

Quizplus · Accepted Answer

The amount that a policyholder must pay for covered services before insurance benefits begin to pay is called a deductible.

Answer: H
 A copayment is a fixed amount paid by the patient for covered services at the time they are received.

Answer: D
 Coinsurance is the percentage of the cost of covered services that the patient is responsible for paying after the deductible has been met.

Answer: J
 The allowed charge is the maximum amount that an insurance company will pay for a specific covered service.

Note: The other options are also commonly used in the healthcare insurance industry, but they don't match the definition given in the question.

Match the Following -The Amount That a Policyholder Must Pay for Covered Services