Healthcare Claim Preparation and Transmission
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| 5010A1 version | show 🗑
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| administrative code set | show 🗑
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| billing provider | show 🗑
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| carrier block | show 🗑
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| show | Documentation that a provider sends to a payer in support of a healthcare claim.
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| show | Unique number assigned to a healthcare claim by the sender.
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| show | Administrative code used to identify the type of health plan.
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| show | Administrative code that identifies the claim as original, replacement, or void/cancel action.
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| show | Software that checks claims to permit error correction for clean claims.
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| clean claim | show 🗑
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| CMS-1500 | show 🗑
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| show | Current paper claim approved by the NUCC.
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| show | Two-digit numeric or alphanumeric code used to report a special condition or unique circumstance about a claim; reported in Item Number 10d on the CMS-1500 claim form.
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| data element | show 🗑
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| destination payer | show 🗑
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| show | Administrative code set used to report a physician’s specialty.
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| show | The form used to send a claim for physician services to both primary and secondary payers.
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| HIPAA X12 276/277 Health Care Claim Status Inquiry/Response (HIPAA 276/277) | show 🗑
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| show | Administrative code that specifies the patient’s relationship to the subscriber (insured).
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| show | On a HIPAA claim, the unique number assigned by the sender to each service line item reported.
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| National Uniform Claim Committee (NUCC) | show 🗑
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| show | Additional provider identification number supplied on a healthcare claim.
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| outside laboratory | show 🗑
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| show | The person or organization that is to receive payment for services reported on a HIPAA claim; may be the same as or different from the billing provider.
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| show | HIPAA administrative code that indicates where medical services were provided.
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| show | Two-digit code for a type of provider identification number other than the National Provider Identifier (NPI).
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| rendering provider | show 🗑
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| required data element | show 🗑
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| show | Person or entity other than the insured or the patient who will pay a patient’s charges.
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| service line information | show 🗑
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| situational data element | show 🗑
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Created by:
verbre5173