Exam 21: The Health Insurance Claim Form

TRICARE is a form of government insurance for veterans of the U.S.armed forces.

Intelligent __________ is the electronic scanning of printed items as images and the use of special software to read those images.

Patients sign an __________ of benefits form so that the physician will receive payment for services directly.

Claims that have errors or omissions that must be corrected and resubmitted to receive reimbursement are called _____________ claims.

Claims that are done by direct billing first go to a clearinghouse.

The medical assistant should do the following when a new patient comes to the office?

The CMS-1500 claim form is sometimes called a(n) __________ claim form.

The transaction and code sets for the CMS-1500 are called the:

What is meant by "other insured" on the claim form?

The charges for procedures are listed in column __________ of block 24.

The provider can list up to __________ diagnoses on the CMS-1500 claim form.

Electronic claims are submitted via electronic media.

The insured's address in block 7 refers to the ______ address.

The insurance claim should always be proofread.

Which of the following would be a valid number for block 24e?

Audit trails are not necessary in the physician's office and are usually used in hospitals.

The assignment of benefits is located in block:

The medical assistant should always follow office __________ for claim review and signatures.

The patient's name is found in block:

The insured's name is found in block: