Ambulatory Clinic Medicaid Admit Referral Ancillary Co- Insurance MSPQ Financial Clearance Patient Care Pre- Certification Primary Care Physician Collection Orders Scheduling Tricare Beacon HMO Pre- Payment Insurance Payment Plan Deductible CPT Financial Clearance RTE Authorization Estimate Out of Pocket BCBS Hospital Outpatient Department Prior Authorization Medicare Schedulable Orders Radiant Denial Provider Co- Payment Peer to Peer Diagnosis Med Necessity Pre- Registration Pre- Determination ICD10 Cadence ABN Treatment Plan Approved Replacement Plan PPO Reference Number Ambulatory Clinic Medicaid Admit Referral Ancillary Co- Insurance MSPQ Financial Clearance Patient Care Pre- Certification Primary Care Physician Collection Orders Scheduling Tricare Beacon HMO Pre- Payment Insurance Payment Plan Deductible CPT Financial Clearance RTE Authorization Estimate Out of Pocket BCBS Hospital Outpatient Department Prior Authorization Medicare Schedulable Orders Radiant Denial Provider Co- Payment Peer to Peer Diagnosis Med Necessity Pre- Registration Pre- Determination ICD10 Cadence ABN Treatment Plan Approved Replacement Plan PPO Reference Number
(Print)
Ambulatory Clinic
Medicaid
Admit
Referral
Ancillary
Co-Insurance
MSPQ
Financial Clearance
Patient Care
Pre-Certification
Primary Care Physician
Collection
Orders
Scheduling
Tricare
Beacon
HMO
Pre-Payment
Insurance
Payment Plan
Deductible
CPT
Financial Clearance
RTE
Authorization
Estimate
Out of Pocket
BCBS
Hospital Outpatient Department
Prior Authorization
Medicare
Schedulable Orders
Radiant
Denial
Provider
Co-Payment
Peer to Peer
Diagnosis
Med Necessity
Pre-Registration
Pre-Determination
ICD10
Cadence
ABN
Treatment Plan
Approved
Replacement Plan
PPO
Reference Number
