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5 Written questions

5 Matching questions

  1. SOF
  2. VALUE ADDED NETWORK (VAN)
  3. CHARGEMASTER
  4. PRIMARY INSURANCE
  5. ALLOWED CHARGES
  1. a HOSPITAL TERM FOR ENCOUNTER FORM
  2. b CLEARINGHOUSE THAT INVOLVES VALUE ADDED VENDORS, SUCH AS BANKS, IN THE PROCESSING OF CLAIMS
  3. c the maximum amount the payer will reimburse for ecah procedure or service, according to the paitent's policy.
  4. d The health plan that pays benefits first when a patient is covered by more than one plan.
  5. e SIGNATURE ON FILE

5 Multiple choice questions

  1. ACCURATE CLAIM FORM
  2. The provider agrees to accept what the insurance company approves as payment in full for the claim.
  3. EDI - COMPUTER TO COMPUTER EXCHANGE OF DATA BETW. PROVIDER AND PAYER
  4. SERIES OF FIXED LENGTH RECORDS SUBMITTED TO PAYERS TO BILL FOR HEALTHCARE SVCS
  5. Health Insurance Claim Form

5 True/False questions

  1. GUARANTORPERSON RESPONSIBLE FOR PAYING HEALTH CARE FEES

          

  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. REPEAT PATIENTFINANCIAL RECORD FOR INDIVIDUAL PATIENT THAT DAY

          

  4. NONPARNON PARTICIPATING PROVIDER

          

  5. DAY SHEETFINANCIAL RECORD FOR INDIVIDUAL PATIENT THAT DAY

          

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