Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Claims

Different kinds of claims

QuestionAnswer
The standard paper claim form used by health care professionals and suppliers to bill insurance carriers for services provided to patients. The CMS-1500
Its one that is submitted on paper and converted to electronic form by insurance companies Paper Claim
A health care claim that is transmitted electronically: also known as an electronic media claim (EMC) Electronic Claim
health insurance claim form that has been completed correctly without any errors or omissions and was submitted within the program or policy time limit Clean Claim
has no staples or highlighted areas and on which the bar code area has not been deformed Physically Clean Claim
has not been processed or cannot be processed or various reasons Rejected Claim
is held in suspense for review or other reason by the third-party payer Pending Claim
Any Medicare claim missing required information Incomplete Claim
Medicare claim that contains complete, necessary information but is illogical or incorrect Invalid Claim
submitted with errors, requiring manual processing for resolution, or rejected for payment Dirty Claim
A claim canceled, deleted, or voided by a Medicare Fiscal Intermediary Deleted Claim
Requires Medicare administrative contractors to pay the prompt payment interest rate on all clean claims not paid in a timely manner Omnibus Budget Reconciliation Act (OBRA)
Is sent when requesting a review of a denied claim Cover Letter
Created by: Leiannlg