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5 Written questions

5 Matching questions

  1. CLAIMS ATTATCHMENT
  2. REPEAT PATIENT
  3. CMS-1500
  4. NONPAR
  5. GUARANTOR
  1. a ESTABLISHED PATIENT
  2. b Health Insurance Claim Form
  3. c NON PARTICIPATING PROVIDER
  4. d PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES
  5. e MEDICAL REPORT SUSTAINING A MEDICAL CONDITION

5 Multiple choice questions

  1. HOSPITAL TERM FOR ENCOUNTER FORM
  2. DOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED
  3. EDI - COMPUTER TO COMPUTER EXCHANGE OF DATA BETW. PROVIDER AND PAYER
  4. the maximum amount the payer will reimburse for ecah procedure or service, according to the paitent's policy.
  5. PROFESSIONAL SVCS/TECHNICAL SVCS, MODIFIERS ADDED

5 True/False questions

  1. PRIMARY INSURANCEPROVIDES CENTRALIZED CLAIMS PROCESSING FOR PROVIDERS AND HEALTH PLAN

          

  2. GENDER RULEThe guideline that determines which of two parents with medical coverage has the primary insurance for a child; the parent whose day of birth is earlier in the calendar year is considered primary.

          

  3. ELECTRONIC FLAT FILE FORMATSERIES OF FIXED LENGTH RECORDS SUBMITTED TO PAYERS TO BILL FOR HEALTHCARE SVCS

          

  4. UNBUNDLINGSUBMITTING MULTIPLE CPT CODES WHEN ONE SHOULD BE SUBMITTED

          

  5. ACCEPT ASSIGNMENTThe provider agrees to accept what the insurance company approves as payment in full for the claim.

          

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