A finalized claim is indicated by which claim status category code?

A. E
B. A
C. P
D. F


Answer: D

Health Professions

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________ Health maintenance organizations (HMOs) provide deductibles to participants

Indicate whether the statement is true or false

Health Professions

A participating provider (PAR) contracts with a health insurance plan and accepts whatever the plan pays for procedures or services performed. This means that PARs __________ allowed to bill patients for the difference between the contracted rate and their normal fee

a. are b. are not

Health Professions

Discuss the major difference between Medicaid and general assistance programs.

What will be an ideal response?

Health Professions

All major government payers have the same guidelines for completing the CMS-1500 claim form.

a. true b. false

Health Professions