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5 Written questions

5 Matching questions

  1. coinsurance
  2. diagnosis
  3. policyholder
  4. explanation of benefits (EOB)
  5. health maintenance organization (HMO)
  1. a physician's opinion of the nature of the patient's illness or injury
  2. b .a person who buys an insurance plan; the insured
  3. c part of changes that of changes that an insured person must pay for health care services after payment of the deductible amount
  4. d paper document form a payer that shows how the amount of a benefit was determined
  5. e a managed health care system in which provides agree to offer heath care to the organization's members for fixed periodic payments from paln

5 Multiple choice questions

  1. a explanation of benefits transmitted electronically by payer to a provider.
  2. a type of insurance in which the carrier is responsible for both financing and the delivery of health care
  3. a code that identifies a medical service.
  4. medical treatment provided by a physician or other health care provider.
  5. a list of the procedures and changes for a patient's visit

5 True/False questions

  1. statementa small fixed fee paid by the patient at the time of an office visit.


  2. adjudicationseries of steps that determine whether a claim should be piad


  3. medical codertreament provided by a physycian to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and provided in accordance with generally accepted standards of medical practice.


  4. health plana plan, program, or organization that provides health benifits.


  5. billing cyclethe flow of financial transactions in a bissiness


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