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Medical Billing Quiz #3
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Medical Billing Quiz #3
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25 Questions

1. 484 and 01/19/xx in field 14 means the patient's _____ was on 01/19/xx.

2. Enter the _____ name in field 4 for workers' compensation claims.

3. If there is not an insurance primary to medicare - enter the word _____ into field 11.

4. For field 1a - you will use the _____ for tricare claims.

5. _____ use punctuation in the patient's street address - except for a hyphen for the zip code.

6. The _____ provider is the person or company who provides the actual care.

7. Dr. Kuzzin is a participating provider in the blue cross blue shield program in his state. His billing specialist submitted a claim for $46 for a child who received a chickenpox vaccine. The corresponding EOB showed that blue cross blue shield will only reimburse Ddr. Kuzzin $37 - or blue cross blue shield's _____ - for this vaccine.

8. Before an insurance plan will begin to cover healthcare costs - the insured must pay any _____ required.

9. If field 11d is marked yes - you will complete fields _____.

10. For field 6 - a _____ as defined by the insurance plan is a child.

11. The _____ is issued by the irs and is used for 1099 taxable income reporting purposes.

12. Leave field 24h blank for _____ claims.

13. If martin davis - md is the ordering provider and james scott - md is the referring provider - you will enter _____ in field 17.

14. Complete field 22 with the original _____ to show proof of timely filing on medicaid claims that are resubmitted.

15. Mark _____ in field 6 for a workers' compensation claim.

16. Corrections reflecting changes on a previously submitted claim are known as _____.

17. In field 21 - the _____ identifies the icd code set being used on the claim.

18. Only one diagnosis pointer is allowed per procedure for _____ claims.

19. Complete field _____ only when the number is different from the data provided in field 33a.

20. In field 25 - if both ein and ssn are provided - use the _____.

21. The _____ rule helps determine which health plan is the primary policy.

22. The _____ name and address is entered in the white space on the top right side of the claim form.

23. Richard visits dr. Jones for a suspected sinus infection. On his way out - richard pays $20 for this visit for his portion of the cost of the service. Richard pays this _____ each time he visits dr. Jones' office.

24. Suzy queries mountain states insurance regarding daniel sizemore's unpaid claim. The representative for mountain states insurance tells her that daniel's claim is in _____ - or in review.

25. Even though the field is labeled mm dd yy - you will enter a _____ -digit year for all birth dates.

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