HCA 110 Final Exam questions n
answers A+ graded already passed
An explanation of benefits (EOB) is also called an: - correct answer ✔✔RA
A list of charges for services or procedures performed is: - correct answer ✔✔fee schedule
A fixed percentage of covered charges paid by the insured person after the deductible has been
met: - correct answer ✔✔coinsurance
A managed care program in which members are expected to receive treatment only from one of
its participating providers: - correct answer ✔✔HMO
true or false: nonPAR is a provider who participates in an insurance carrier's. - correct answer
✔✔false
Electronic claims can be sent to an insurance plan or through a___where the claim info will be
standardized and scrubbed - correct answer ✔✔clearinghouse
Assignment of benefit statements are done with ___ providers to ensure payment directly from
the insurer to the provider - correct answer ✔✔PAR
Patients who qualify for Medicare and who cannot pay for Medicare's charges may qualify for
dual coverage also known as - correct answer ✔✔Medi/Medi
Coordination of benefits (COB) refers to: - correct answer ✔✔the legality of having more than
one insurance policy
answers A+ graded already passed
An explanation of benefits (EOB) is also called an: - correct answer ✔✔RA
A list of charges for services or procedures performed is: - correct answer ✔✔fee schedule
A fixed percentage of covered charges paid by the insured person after the deductible has been
met: - correct answer ✔✔coinsurance
A managed care program in which members are expected to receive treatment only from one of
its participating providers: - correct answer ✔✔HMO
true or false: nonPAR is a provider who participates in an insurance carrier's. - correct answer
✔✔false
Electronic claims can be sent to an insurance plan or through a___where the claim info will be
standardized and scrubbed - correct answer ✔✔clearinghouse
Assignment of benefit statements are done with ___ providers to ensure payment directly from
the insurer to the provider - correct answer ✔✔PAR
Patients who qualify for Medicare and who cannot pay for Medicare's charges may qualify for
dual coverage also known as - correct answer ✔✔Medi/Medi
Coordination of benefits (COB) refers to: - correct answer ✔✔the legality of having more than
one insurance policy
