Title: Define basic terms found in an insurance contract.
Course: Medical Coding and Billing I (14151-III) > Section: Understanding the U.S. Healthcare System

Defining should include the following terms:

- Eligibility effective date
- Termination of coverage
- Preauthorization
- Precertification
- Preauthorization form
- Authorized treatment record form
- Basic benefits
- Accident benefits
- Preadmission testing
- Second surgical opinion
- Outpatient facility charges
- Coordination of benefits
- Order of benefits
- Inpatient facility charges
- Advanced Beneficiary Notice (ABN)

Process/Skill Questions

- Why is the preauthorization of medical procedures sometimes necessary?
- How do accident benefits vary from basic benefits with regard to payment?
- Who initiates second surgical opinions?
- What is the difference between outpatient and inpatient facility charges?