What are subscribers also referred to as?

Prepare for your Health Insurance Billing Exam. Utilize flashcards and multiple choice questions, each with explanations. Boost your readiness!

Subscribers in the context of health insurance are commonly referred to as policyholders. They are individuals who have purchased a health insurance policy and thus hold the contract with the insurance company. This designation is significant because it highlights the relationship between the subscriber and the insurance coverage, indicating that they are the primary individual responsible for the policy, similar to how one holds a title or deed to property.

The term 'policyholder' establishes their rights and responsibilities under the terms of the insurance plan, including making premium payments and accessing benefits. Understanding this terminology is crucial in health insurance billing practices, as it helps clarify who is entitled to receive benefits and who is accountable for claims.

The other terms in the question refer to different roles within the healthcare system. 'Gatekeepers' typically refer to providers who control patient access to specialized services. 'Case managers' are healthcare professionals who coordinate care for patients, ensuring they receive appropriate services. 'Primary care providers' are the healthcare professionals who serve as the first point of contact for patients seeking care. Each of these roles serves distinct functions within the healthcare delivery system, separate from the concept of being a policyholder.

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