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13 Cards in this Set
- Front
- Back
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Which is considered a commercial health insurance company?
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Prudental
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Another term that can be used to indicate a fee-for-service plan is a ....... plan.
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noncapitated
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Logan is the daughter of Amy (DOB 3/29/68) and Bill (DOB 11/15/70) and is covered by both parents' health insurance plans. Accoriding to the birthday rule, a medical claim for Logan will be submitted to ....
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Amy's plan as primary payer and Bill's plan as secondary payer.
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When the patient is the domestic partner of the primary policyholder, this is indicated on the CMS-1500 claim form by......
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placing an X in the OTHER box of block 6
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Reimbursement for income lost as a result of a temporary of premanent illness or injury is covered by ........ insurance.
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disability
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The patient was seen in the provider's office on 12/3/2006. The patient history reflects that the patient was injured 4 months earlier. What is entered in Block 14 of the CMS-1500 claim form?
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08 03 2006
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When an insurance claim is submitted to an insurance company that covers the treatment of injuried sustained in a motor vehicle accident, the .... reviews the claim and determines coverage for the injured person.
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medical adjuster
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What is the correct way to enter the provider's name and credential in Block 31?
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JOHN BROWN MD
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A balance of $12.55 is due to the patient for services provided by Dr. Brown. What is entered in Block 30 of the CMS-1500 when the physcian is a PAR provider?
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leave blank
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A secondary health insurance plan generally provides coverage that is ........
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similar to that of a primary health insurance plan.
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Reimbursement for loss of or damage to a vehicle (natural disasters) is covered by ........ (automobile) insurance.
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comprehensive
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When a patient is covered by a large employer group health plan (EGHP) and Medicare, which is primary?
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EGHP
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When completing a CMS-1500 using computer software, text should be entered in ..... case.
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upper
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