A follow-up effort made to an insurance company to locate the status of an insurance claim is called
Document together with the payment voucher that is sent to a physician who has accepted assignment of benefits is referred to as
Most legal issues of private health insurance claims fall under
An insurance claim with an invalid procedure code
An insurance claim for which prior approval was not obtained would be
Final determination involving settlement of an industrial accident is known as:
Total number of levels of redetermination that exist in the Medicare program
State compensation laws that require each employer to accept its provisions and provide for specified benefits are ________ laws.
The correct term used to determine if a procedure is covered and medically necessary
Eligible to transfer medical insurance coverage from a group to an individual contract
An attachment to an insurance policy that excludes certain illnesses or disabilities that would otherwise be covered is referred to as
The number issued to physicians by the IRS for income tax purposes is known as
In an industrial case, if the patient is experiencing pain that can be tolerated but will cause some handicap in the performance of the activity precipitating the pain, is called:
Premiums for workers' compensation insurance are paid by the
The simplest type of workers' compensation claim is:
When downcoding occurs, payment will
Videotapes made of the patient without his or her knowledge to document the extent of the patient's permanent disability are called:
Down
The source document for insurance claim data
The maximum amount of time for which benefits will be paid to the injured or ill person for a disability is called the ________ period.
An individualized program of therapy using simulated or real work tasks to build strength and improve the worker's endurance toward a full day's work is known as:
The first level of appeal in the Medicare program
A person younger than the age of 18 who lives indepentently
Conditions that existed and were treated before the health insurance policy was issued are called
Most physician/patient contracts are
A proceeding in which an attorney asks a witness questions regarding a case and the witness answers under oath but not in open court is known as:
Lifetime 10-digit number issued to physicians that replaces all other numbers assigned by various health plans
A daily record sheet used to record daily business transactions is called
How many levels of review exist for TRICARE appeal procedures
Acronym for Occupational Safety and Health Administration
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