NHA CCMA 2026/2026 FINAL QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A+ 100% GUARANTEED PASS
Advance Beneficiary Notice (ABN) A form provided to the patient when
the provider believes Medicare will probably
not pay for services received
Allowed amount The maximum amount a third-party
payer will pay for a particular
procedure or service
Copayment (copay) amount of money due from the
subscriber at time services are
rendered. The amount is stated on
the insurance card and collected at
time of service.
,Coinsurance the sharing of expenses by the
policyholder and the insurance company
Deductible Amount you must pay before you
begin receiving any benefits from
your insurance company
Explanation of Benefits (EOB) A statement from an insurance carrier
describing what services were paid,
denied, or reduced in payment
participating provider (PAR) Providers who agree to write off the
difference between the amount charged
by the provider and the approved
fee established by the insurer
Medicare A federal program of health insurance
for persons 65 years of age and older
by Part A (hospitalization) or Part B
(routine medical office visits)
Tricare authorizes dependents of military
, personnel to receive treatment from
civilian providers at the expense of
the federal government
CHAMPVA (Civilian Health and Medical Program of the covers
surviving spouses and dependent children of veterans who died as a
result Department of Veterans Affairs) of service-related
disabilities
Medicaid provides health insurance to the
medically indigent population through
a cost- sharing program between
federal and state governments for
those who meet specific eligibility
criteria
managed care an umbrella term for plans that provide
health care in return for preset
scheduled payments and coordinated
care through a defined network of
providers and
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A+ 100% GUARANTEED PASS
Advance Beneficiary Notice (ABN) A form provided to the patient when
the provider believes Medicare will probably
not pay for services received
Allowed amount The maximum amount a third-party
payer will pay for a particular
procedure or service
Copayment (copay) amount of money due from the
subscriber at time services are
rendered. The amount is stated on
the insurance card and collected at
time of service.
,Coinsurance the sharing of expenses by the
policyholder and the insurance company
Deductible Amount you must pay before you
begin receiving any benefits from
your insurance company
Explanation of Benefits (EOB) A statement from an insurance carrier
describing what services were paid,
denied, or reduced in payment
participating provider (PAR) Providers who agree to write off the
difference between the amount charged
by the provider and the approved
fee established by the insurer
Medicare A federal program of health insurance
for persons 65 years of age and older
by Part A (hospitalization) or Part B
(routine medical office visits)
Tricare authorizes dependents of military
, personnel to receive treatment from
civilian providers at the expense of
the federal government
CHAMPVA (Civilian Health and Medical Program of the covers
surviving spouses and dependent children of veterans who died as a
result Department of Veterans Affairs) of service-related
disabilities
Medicaid provides health insurance to the
medically indigent population through
a cost- sharing program between
federal and state governments for
those who meet specific eligibility
criteria
managed care an umbrella term for plans that provide
health care in return for preset
scheduled payments and coordinated
care through a defined network of
providers and
