A medical biller completes the ____________________ and then sends the entire file to the clearinghouse for processing.
Fill in the blank(s) with correct word
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Q. 2) A ____________________ acts a middleman between the biller and the insurance company.
Fill in the blank(s) with correct word
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Q. 3) The biller for the office is submitting claims to a clearinghouse for processing. At the end of each day, the computer __________ all claims entered that day and sends them to a file for transmission to the clearinghouse.
A) batches
B) files
C) bins
D)purges
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Q. 4) Which of the following is a common function of a clearinghouse?
A) total amount of claims and dollar amounts forwarded to each payer
B) processing of all first report of injury forms
C) mailing all manual claim forms
D)posting of payments
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Q. 5) Which of the following is not a common benefit of electronic claim submission?
A) faster reimbursement
B) reduced error rate
C) processing of personal injury protection (PIP) forms
D)confidence that all claims in file were received
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Q. 6) A claim is sent electronically to a clearinghouse for processing. However, there is an error in the claim. What happens to that claim?
A) It is returned to the patient.
B) It is returned to the office.
C) It is sent to the insurance company.
D)It is destroyed.
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Q. 7) A claim that is sent directly from a clearinghouse to an insurance carrier is known as what type of claim?
A) dirty
B) appealed
C) clean
D)complete
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Q. 8) What type of entity is used by a provider's office to process their electronic claims?
A) electronic data interchange (EDI) company
B) clearinghouse
C) batch company
D)file company
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Q. 9) What are the two most common types of electronic claim formatting used in the United States?
A) EDI and ANSI-X12
B) ANSI and EDI
C) ANSI
D)EDI and encrypted
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Q. 10) A patient is being seen in the office for an injury suffered at his place of employment. In addition to the claim form, a first report of injury form is required to be submitted for processing of this claim. This would require what type of claim submission?
A) electronic
B) manual
C) electronic data interchange EDI
D)modem
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