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5 Written Questions

5 Matching Questions

  1. ASSIGNMENT OF BENEFITS
  2. ELECTRONIC FLAT FILE FORMAT
  3. GENDER RULE
  4. PATIENT LEDGER/PATIENT ACCOUNT RECORD
  5. CLEARINGHOUSE
  1. a PROVIDES CENTRALIZED CLAIMS PROCESSING FOR PROVIDERS AND HEALTH PLAN
  2. b COMPLETE FINANCIAL RECORD OF INDIVIDUAL PATIENT
  3. c An arrangement by which a patient requests that his or her health insurance benefit payments be made directly to a physician or hospital is called a(n):
  4. d THE FATHERS PLAN IS ALWAYS PRIMARY WHEN A CHILD IS COVERED BY BOTH PARENTS
  5. e SERIES OF FIXED LENGTH RECORDS SUBMITTED TO PAYERS TO BILL FOR HEALTHCARE SVCS

5 Multiple Choice Questions

  1. ACCURATE CLAIM FORM
  2. DOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED
  3. NON PARTICIPATING PROVIDER
  4. ESTABLISHED PATIENT
  5. CLEARINGHOUSE THAT INVOLVES VALUE ADDED VENDORS, SUCH AS BANKS, IN THE PROCESSING OF CLAIMS

5 True/False Questions

  1. PARPARTICIPATING PROVIDER

          

  2. GUARANTORNON PARTICIPATING PROVIDER

          

  3. ALLOWED CHARGESPROFESSIONAL SVCS/TECHNICAL SVCS, MODIFIERS ADDED

          

  4. DAY SHEETDOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED

          

  5. UNBUNDLINGNON PARTICIPATING PROVIDER

          

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