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This Concept Map, created with IHMC CmapTools, has information related to: SHW - Reimbursement Process, Doctor or any Medical Provider #3 Medical Provider (Doctor) submits bill directly to insurance company for payment Health Insurance Company Claims Processing and Deductible Tabulations, #6 D Wood Accounting (HRA Admin) #7 DWA sends regular updates to Employer plus a Monthly Statement & Report #7 Employer - HRA If the deductible has not been satisfied but the terms of the of the HRA have the Employer pays the medical provider/doctor or reimburses Employee as directed by Employee., #1 Employee #1A Employee visits medical provider - Doctor and gets a medical Receipt Doctor or any Medical Provider, #1 Employee #2 If the Deductible has not been satisfied or the HRA terms have not been met the employee pays Doctor Out-of-Pocket or from personal HSA Doctor AR Dept, #7 Employer - HRA If the deductible has not been satisfied but the terms of the of the HRA have the Employer pays the medical provider/doctor or reimburses Employee as directed by Employee. $ Flow Doctor AR Dept, Employee Owned HSA #2 If the Deductible has not been satisfied or the HRA terms have not been met the employee pays Doctor Out-of-Pocket or from personal HSA Doctor AR Dept, Health Insurance Company Claims Processing and Deductible Tabulations Explanation of Benefits (EOB) #1 Employee, #7 Employer - HRA If the deductible has not been satisfied but the terms of the of the HRA have the Employer pays the medical provider/doctor or reimburses Employee as directed by Employee. $ Flow Reimbursement to employee from HRA, Health Insurance Company Claims Processing and Deductible Tabulations #8 Once the deductible has been satisfied the insurance company pays the medical provider (Doctor) directly Doctor or any Medical Provider, #1 Employee Explanation of Benefits (EOB) #6 D Wood Accounting (HRA Admin), #1 Employee #3 Employee submits receipt Health Insurance Company Claims Processing and Deductible Tabulations