An insurance claims department compares the fee the doctor charges with the benefits provided by the patient's health plan. This is called the ____.
A. payment of benefits
B. review of medical necessity
C. explanation of benefits
D. review for allowable benefits
E. payment and remittance advice
D. review for allowable benefits
In the review for allowable benefits, the claims department compares the fees the physician has charged with the benefits provided by the patient's health insurance policy to determine the amount of deductible or coinsurance the patient owes.
You might also like to view...
________ Gaining insufficient height according to the standardized baby growth charts is called failure to thrive (FTT)
Indicate whether the statement is true or false
_______ can manifest in many forms, including emotional, behavioral, and physical ways
Fill in the blank(s) with the appropriate word(s).
How would the Americans with Disabilities Act (ADA) be satisfied for a pregnant emergency medical dispatcher (EMD) who suffers from paralysis of both legs and requires the use of a wheelchair?
A) Wheelchair accessibility to and from dispatch B) Hourly pay rate 10 percent above that of the other EMDs C) Scheduled shifts during daylight hours only D) Transport by your service to and from work
In IDC-9-CM, the root operation "replacement" has _____ different meaning(s) in ICD-10-PCS.
A. one B. two C. three D. four