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5 Written questions

5 Matching questions

  1. VALUE ADDED NETWORK (VAN)
  2. PAR
  3. ELECTRONIC FLAT FILE FORMAT
  4. ACCEPT ASSIGNMENT
  5. CLEARINGHOUSE
  1. a PARTICIPATING PROVIDER
  2. b The provider agrees to accept what the insurance company approves as payment in full for the claim.
  3. c SERIES OF FIXED LENGTH RECORDS SUBMITTED TO PAYERS TO BILL FOR HEALTHCARE SVCS
  4. d CLEARINGHOUSE THAT INVOLVES VALUE ADDED VENDORS, SUCH AS BANKS, IN THE PROCESSING OF CLAIMS
  5. e PROVIDES CENTRALIZED CLAIMS PROCESSING FOR PROVIDERS AND HEALTH PLAN

5 Multiple choice questions

  1. PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES
  2. EDI - COMPUTER TO COMPUTER EXCHANGE OF DATA BETW. PROVIDER AND PAYER
  3. HOSPITAL TERM FOR ENCOUNTER FORM
  4. The 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.
  5. Health Insurance Claim Form

5 True/False questions

  1. CLAIMS ATTATCHMENTMEDICAL REPORT SUSTAINING A MEDICAL CONDITION

          

  2. ASSIGNMENT OF BENEFITSAn 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):

          

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

          

  4. REPEAT PATIENTESTABLISHED PATIENT

          

  5. UNBUNDLINGNON PARTICIPATING PROVIDER

          

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