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Commerical Insurance

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
When a patient is covered by a large employer group health plan (EGHP) and Medicare, which is primary?   show
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When a child who is covered by two or more plans lives with his married parents, the primary policyholder is the parent   show
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show contains the identification number without hyphens or spaces.  
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When the CMS-1500 claim requires spaces for data entry of a date, the data is entered as which of the following?   show
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Entering an X in the Other box on the CMS-1500 claim indicates that the patient is covered by an individual or family health plan, and can also indicate that the claim should be processed by a(n) __________ payer.   show
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show X  
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show SOF  
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date the patient first experienced signs or symptoms of an illness or injury (or the date of last menstrual period for obstetric visits).The provider does document that pain began five days ago. Today is May 10, YY. What do you enter in Block 14?   show
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Blocks 24A–24J of the CMS-1500 claim contain shaded rows, which can contain   show
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show 05 10 YY 05 11 YY  
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show National Provider Identifier (NPI)  
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show no punctuation or space  
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show submit just one completed CMS-1500 to the same plan.  
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show commas  
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show NPI  
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Which typically covers the medical expenses of individuals and groups, and is either purchased by individuals or provided by employers?   show
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Which specifically compensates policyholders for actual economic losses, up to limiting amounts on the insurance policy, and usually requires the insured to prove losses before payment is made?   show
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show Automobile insurance  
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Which covers income lost as a result of a temporary or permanent illness or injury?   show
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show Liability insurance  
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show Subrogation  
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show Workers' compensation  
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Third-party recovery standards for the investigation of liability coverage and the process for filing a lien in a potential liability case vary according to federal or state law. Which is an example of a lien?   show
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Secondary health insurance plans provide coverage similar to that of __________ plans.   show
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Which benefit program is most likely to be implemented by employers to retain high-quality employees and ensure productivity?   show
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Created by: tbharris
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