NAME: ________________________

Ch. 4 Insurance Test

Question Types


Start With


Question Limit

of 25 available terms

Upgrade to
remove ads

5 Written Questions

5 Matching Questions

  1. CLEARINGHOUSE
  2. UNBUNDLING
  3. GUARANTOR
  4. REPEAT PATIENT
  5. CMS-1500
  1. a Health Insurance Claim Form
  2. b PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES
  3. c PROVIDES CENTRALIZED CLAIMS PROCESSING FOR PROVIDERS AND HEALTH PLAN
  4. d SUBMITTING MULTIPLE CPT CODES WHEN ONE SHOULD BE SUBMITTED
  5. e ESTABLISHED PATIENT

5 Multiple Choice Questions

  1. The provider agrees to accept what the insurance company approves as payment in full for the claim.
  2. PARTICIPATING PROVIDER
  3. CLEARINGHOUSE THAT INVOLVES VALUE ADDED VENDORS, SUCH AS BANKS, IN THE PROCESSING OF CLAIMS
  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. CLEAN CLAIMPROVIDES CENTRALIZED CLAIMS PROCESSING FOR PROVIDERS AND HEALTH PLAN

          

  2. SOFPARTICIPATING PROVIDER

          

  3. ELECTRONIC DATA INTERCHANGEEDI - COMPUTER TO COMPUTER EXCHANGE OF DATA BETW. PROVIDER AND PAYER

          

  4. ENCOUNTER FORM/SUPERBILLTHE FATHERS PLAN IS ALWAYS PRIMARY WHEN A CHILD IS COVERED BY BOTH PARENTS

          

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

          

Create Set