Match the following
-The amount a covered person is required to pay at the time of service

Question

Quizplus · Accepted Answer

A copayment is the amount a covered person is required to pay at the time of service.

Answer: B
 A participating provider is a healthcare provider who has a contractual agreement with a payer to provide services to covered persons at a discounted rate.

Answer: C
 Capitation is a method of payment where a healthcare provider is paid a fixed amount per covered person, regardless of the healthcare services needed.

Answer: D
 Contracted services refer to healthcare services that are provided by a participating provider who has a contractual agreement with a payer to provide services at a discounted rate.

Answer: E
 A payer is an entity, such as an insurance company or government program, that pays for healthcare services.

Answer: F
 A benefit plan is a description of the healthcare services that are covered by a health insurance policy.

Answer: G
 Coordination of benefits refers to the process by which a person who has healthcare coverage under more than one healthcare plan ensures that the healthcare costs are paid correctly by each plan.

Answer: H
 Covered services are healthcare services that are included in a benefit plan and are therefore paid for by a payer.

Answer: I
 A nonparticipating provider is a healthcare provider who does not have a contractual agreement with a payer, but may still provide healthcare services to covered persons.

Answer: J
 A covered person is a person who is eligible to receive healthcare benefits under a benefit plan.

Match the Following -The Amount a Covered Person Is Required to Pay at to Pay