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5 Written questions

5 Matching questions

  1. CLEAN CLAIM
  2. CMS-1500
  3. ELECTRONIC DATA INTERCHANGE
  4. GUARANTOR
  5. ASSIGNMENT OF BENEFITS
  1. a 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):
  2. b PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES
  3. c EDI - COMPUTER TO COMPUTER EXCHANGE OF DATA BETW. PROVIDER AND PAYER
  4. d Health Insurance Claim Form
  5. e ACCURATE CLAIM FORM

5 Multiple choice questions

  1. PARTICIPATING PROVIDER
  2. PROVIDES CENTRALIZED CLAIMS PROCESSING FOR PROVIDERS AND HEALTH PLAN
  3. COMPLETE FINANCIAL RECORD OF INDIVIDUAL PATIENT
  4. the maximum amount the payer will reimburse for ecah procedure or service, according to the paitent's policy.
  5. The health plan that pays benefits first when a patient is covered by more than one plan.

5 True/False questions

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

          

  2. APPEALDOCUMENTED AS A LETTER, SIGNED BY PROVIDER EXPLAINING WHY A CLAIM SHOULD BE RECONSIDRERED

          

  3. CLAIMS ATTATCHMENTESTABLISHED PATIENT

          

  4. VALUE ADDED NETWORK (VAN)PERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES

          

  5. ENCOUNTER FORM/SUPERBILLFINANCIAL SOURCE DOCUMENT; RECORD OF TREATMENT AND CHARGES RENDERED TO PT. DURING CURRENT ENCOUNTER. USED IN PHYSICIANS OFFICE

          

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