Medical Billing & Coding Ch.7 Exam Questions with Correct Answers Latest Update
2026/2027
If the patient has group contract insurance with a private payer, which type of insurance is
selected in Item Number 1 of the CMS-1500 form? - Answers Group Health Plan
What Item Number of the CMS-1500 claim form must be marked yes if Item Numbers 9, 9a, and
9d are completed? - Answers Item Number 11d
_____ codes are two-digit numeric or alphanumeric codes used to report a special condition or
unique circumstance about a claim. - Answers Condition
Which of the following statements are true of Item Number 7: Insured's Address on the CMS-
1500 form? (Select all that apply.) - Answers The address of the person listed in IN 4 should be
used.
This field refers to the insured's permanent residence.
When do you report the patient's information in Item Number 5 of the CMS-1500 claim form? -
Answers Only if it is different from the insured's information
Which of the following is a correct claim code that would be entered in Item Number 10d of the
CMS-1500 claim form? - Answers BGAH
Regarding the area indicating the sex (gender) of the insured in Item Number 11a of the CMS-
1500 claim form? (Select all that apply.) - Answers Only one box, either male or female, can be
checked.
No box is checked if the gender is unknown.
What number is the nine-digit alphanumeric identifier assigned to a patient who is an employee
of the federal government claiming work-related condition(s) under the Federal Employees'
Compensation Act? - Answers FECA
If a husband is covered by his employer's group policy and by his wife's group health plan, where
would you enter the wife's name on the CMS-1500 claim form? - Answers Item Number 9
When a legal signature is used in IN 12 of the CMS-1500 claim form, which of the following
formats are used when entering the date signed? (Select all that apply.) - Answers MM/DD/YY
MM/DD/YYYY
What Item Number of the CMS-1500 claim form indicates that the insured's or authorized
person's signature is on file authorizing payment of medical benefits directly to the provider of
the services listed on the claim? - Answers Item Number 13
If there is no signature on file for the insured, which of the following can be entered in IN 13 of
, the CMS-1500 claim form? (Select all that apply.) - Answers "No Signature on File"
Leave blank
The date entered in Item Number 14 of the CMS-1500 claim form refers to which of the
following dates about the patient? (Select all that apply.) - Answers First date of onset of illness
Actual date of injury
LMP for pregnancy
Which Item Number is used to report outside lab charges to show that services have been
rendered by an independent provider, as indicated in IN 32, and to list the related costs? -
Answers Item Number 20
The _____, called the Other ID number, of the referring provider, ordering provider, or other
source is the payer-assigned unique identifier of the physician or other healthcare provider. -
Answers non-NPI ID number
In Item Number 18 of the CMS-1500 claim form, how are the dates entered for patients still
hospitalized? - Answers The admission date is listed in the From box, and the To box is left
blank.
When resubmitting a claim, you must enter a bill frequency code aligned left in the left-hand side
of the field. Which of the following would be correct bill frequency codes to place in Item
Number 22? (Select all that apply.) - Answers 7
8
The _____ number refers to the payer-assigned number authorizing the service(s). - Answers
prior authorization
What Item Number on the CMS-1500 claim form is used to report additional claim information? -
Answers Item Number 19
When billing HCPCS codes for products such as drugs, durable medical equipment, or supplies,
the payer may require supplemental information using which of the following indicators and
codes? (Select all that apply.) - Answers VP indicator and Health Industry Business
Communications Council (HIBCC) indicator
OZ indicator and Global Trade Item Number
Anesthesia duration
N4 indicator and the National Drug Codes
What Item Number on the CMS-1500 claim form is used to report the date(s) of service and
2026/2027
If the patient has group contract insurance with a private payer, which type of insurance is
selected in Item Number 1 of the CMS-1500 form? - Answers Group Health Plan
What Item Number of the CMS-1500 claim form must be marked yes if Item Numbers 9, 9a, and
9d are completed? - Answers Item Number 11d
_____ codes are two-digit numeric or alphanumeric codes used to report a special condition or
unique circumstance about a claim. - Answers Condition
Which of the following statements are true of Item Number 7: Insured's Address on the CMS-
1500 form? (Select all that apply.) - Answers The address of the person listed in IN 4 should be
used.
This field refers to the insured's permanent residence.
When do you report the patient's information in Item Number 5 of the CMS-1500 claim form? -
Answers Only if it is different from the insured's information
Which of the following is a correct claim code that would be entered in Item Number 10d of the
CMS-1500 claim form? - Answers BGAH
Regarding the area indicating the sex (gender) of the insured in Item Number 11a of the CMS-
1500 claim form? (Select all that apply.) - Answers Only one box, either male or female, can be
checked.
No box is checked if the gender is unknown.
What number is the nine-digit alphanumeric identifier assigned to a patient who is an employee
of the federal government claiming work-related condition(s) under the Federal Employees'
Compensation Act? - Answers FECA
If a husband is covered by his employer's group policy and by his wife's group health plan, where
would you enter the wife's name on the CMS-1500 claim form? - Answers Item Number 9
When a legal signature is used in IN 12 of the CMS-1500 claim form, which of the following
formats are used when entering the date signed? (Select all that apply.) - Answers MM/DD/YY
MM/DD/YYYY
What Item Number of the CMS-1500 claim form indicates that the insured's or authorized
person's signature is on file authorizing payment of medical benefits directly to the provider of
the services listed on the claim? - Answers Item Number 13
If there is no signature on file for the insured, which of the following can be entered in IN 13 of
, the CMS-1500 claim form? (Select all that apply.) - Answers "No Signature on File"
Leave blank
The date entered in Item Number 14 of the CMS-1500 claim form refers to which of the
following dates about the patient? (Select all that apply.) - Answers First date of onset of illness
Actual date of injury
LMP for pregnancy
Which Item Number is used to report outside lab charges to show that services have been
rendered by an independent provider, as indicated in IN 32, and to list the related costs? -
Answers Item Number 20
The _____, called the Other ID number, of the referring provider, ordering provider, or other
source is the payer-assigned unique identifier of the physician or other healthcare provider. -
Answers non-NPI ID number
In Item Number 18 of the CMS-1500 claim form, how are the dates entered for patients still
hospitalized? - Answers The admission date is listed in the From box, and the To box is left
blank.
When resubmitting a claim, you must enter a bill frequency code aligned left in the left-hand side
of the field. Which of the following would be correct bill frequency codes to place in Item
Number 22? (Select all that apply.) - Answers 7
8
The _____ number refers to the payer-assigned number authorizing the service(s). - Answers
prior authorization
What Item Number on the CMS-1500 claim form is used to report additional claim information? -
Answers Item Number 19
When billing HCPCS codes for products such as drugs, durable medical equipment, or supplies,
the payer may require supplemental information using which of the following indicators and
codes? (Select all that apply.) - Answers VP indicator and Health Industry Business
Communications Council (HIBCC) indicator
OZ indicator and Global Trade Item Number
Anesthesia duration
N4 indicator and the National Drug Codes
What Item Number on the CMS-1500 claim form is used to report the date(s) of service and
