Exam 21: The Health Insurance Claim Form

A claim that is printed and mailed to the carrier is called a ______ copy.

The primary insurance policy information is contained in block __________.

The address of the payer can consist of up to four lines.

__________ insurance carriers can be billed using the CMS-1500 claim form.

Medicare's UPIN stands for _______ identification number.

The date in block 14 is the date:

Procedure code modifiers are found in column __________ of block 24.

Dirty claims cannot be resubmitted.

A secondary health plan is noted in which block?

Nothing should be __________ to claim forms.

Electronic data interchange is:

Verification of insurance benefits is usually done by:

Only physicians can be providers of medical services.

How many diagnoses can be reported on the CMS-1500?

Hard copies of claims are also called __________ claims.

A(n) __________ claim has been completed accurately and completely.

The __________ identification number is used by the Internal Revenue Service.

The medical assistant should __________ the front and back of the patient's insurance card.

All __________ letters should be used on claim forms.

The physician's office place-of-service code is: