SOLUTION VERIFIED QUESTIONS AND
ANSWERS GUARANTEED TO PASS
●● claim
Answer: A request for payment under an insurance contractor bond is
called a(n):
A. insurance application
B. claim
C. dual choice request
D. total disability
●● premium
Answer: Payment made periodically to keep an insurance policy in force
is called:
A. time limit
B. premium
C. coinsurance
D. fee for service
●● provider
Answer: A person or institution that gives medical care is a(n):
,A. third-party payer
B. provider
C. adjuster
D. insurance agent
●● indemnities
Answer: Benefits that are made in the form of cash payments are known
as:
A. indemnities
B. deductibles
C. medical co-pays
D. cash advances
●● deductible
Answer: An amount the insured must pay before policy benefits begin is
called:
A. indemnity
B. extended benefits
C. deductible
D. catastrophic
●● health maintenance organization
,Answer: An organization that offers health insurance at a fixed monthly
premium with little or no deductible and works through a primary care
provider is called a(n):
A. preferred provider
B. health maintenance organization
C. member physician
D. private health provider
●● outpatient
Answer: A patient receiving ambulatory care at a hospital or other health
facility without being admitted a bed patient is called a(n):
A. inpatient
B. outpatient
C. carrier
D. adjuster
●● partial disability
Answer: An injury that prevents a worker from performing one or more
of the regular functions of his job would be known as a :
A. partial disability
B. permanent disability
C. total disability
D. resultant disability
, ●● subscriber
Answer: One who belongs to a group insurance plan is called:
A. third-party payer
B. subscriber
C. carrier
D. no correct answer
●● benefits
Answer: A sum of money provided in an insurance policy, payable for
covered services is called:
A. deductible
B. benefits
C. dues payable
D. premium
●● coordination of benefits
Answer: To prevent the insured from receiving a duplicate payment for
losses under more than one insurance policy is called:
A. fee-for-service
B. hospital benefits
C. coordination of benefits
D. non duplication benefits