VOCABULARY REVIEW Fill in the blank with the correct vocabulary terms from this chapter. Section 1: A form completed by the patient that authorizes the medical office to release medical records to the insurance company for health insurance reimbursement 1. a. Precertification Obtained from health insurance companies and gives the provider approval to render the medical service. 2. b. CMS-1500 The electronic transfer of data (e g, electronic claims) between two or more entities 3. c. Direct Billing 4. A process done prior to claims submission to examine claims for d. Release of information accuracy and completeness. A contract between a provider and an insurance company in which the health plan pays a monthly fee per patient while the provider accepts the patient's copay as payment in full for office visits e. Participating provider f. Electronic data interchange g. Capitation agreements 5. The process of obtaining the dollar amount approved for a medical procedure or service before it is scheduled. 6. 7. Form used by most health insurance payers for claims submitted by providers and suppliers 8. Process by which an insurance carier a allows a provider to submit insurance claims directly to the carrier electronically. A healthcare provider who has signed a contract with a health insurance plan to accept lower reimbursements for services in returm for patient referrals. 9. ords