A ________ allows a member to select a plan with a lower monthly premium but has a higher deductible.
Fill in the blank(s) with correct word
(
Q. 2) _________ was enacted in 1986 to assist workers and their families keep their group health coverage in the event of termination, reduced hours, Medicare eligible, or divorce.
Fill in the blank(s) with correct word
(
Q. 3) List three common errors that cause delays in claims processing.
(
Q. 4) Families of active duty military are required to seek care at a military facility. In the event that a service cannot be provided there and the recipient must go to a private facility, a _____________________________
_ is required.
Fill in the blank(s) with correct word
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Q. 5) Medicare patients typically have secondary (supplemental) coverage with _____________________________
_.
Fill in the blank(s) with correct word
(
Q. 6) A medical condition under active treatment at the time application is made for an insurance policy which may not be a covered service under the insurance policy is called a _____________________________
_.
Fill in the blank(s) with correct word
(
Q. 7) The total amount the patient must pay for covered services before insurance benefits are payable is called a ____________________.
Fill in the blank(s) with correct word
(
Q. 8) _____________________________
_ is a ruling in an insurance policy when a patient has two or more insurance policies where benefits combined will not exceed 100 of the covered benefit.
Fill in the blank(s) with correct word
(
Q. 9) Which of the following providers do not have to accept assignment for a Medicare claim?
A) Ambulance services
B) Clinical diagnostic laboratories
C) Physician assistants
D) Physicians
(
Q. 10) A ____ physician is a physician or non-physician who requests an item or service for a beneficiary such as a consultation, surgery, diagnostic testing, or durable medical equipment and whose name goes in block 17 of the claim form.
A) consulting
B) covering
C) referring
D) treating
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