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Quiz: Assignment of benefits Ans: contract in which the provider directly bills
the payer and accepts allowable charge
Quiz: Medicare Summary Notice (MSN) Ans: A summary sent to the patient
from Medicare that summarizes all services provided over a period of time
with an explanation of benefits provided
Quiz: Remittance Advice Ans: notice sent by the insurance company that
contains payment information about a claim; the report sent from the third-
party payer to the provider that reflects any changes made to the original
billing
Quiz: Coordination of Benefits (COB) Ans: the provision of an insurance
contract that limits benefits to 100% of the cost
Quiz: COB Rules Ans: determines which insurance plans are primary and
which are secondary
Quiz: Third-party payer Ans: Organization other than a patient who pays for
services, such as insurance companies, Medicare, and Medicaid.
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, Quiz: explantion of benefits Ans: describes the services rendered, payment
covered, and benefit limits and denials
Quiz: crossover claim Ans: Claim submitted by people covered by a primary
and secondary insurance plan.
Quiz: Medicare Part A Ans: Provides hospitalization insurance to eligible
individuals.
Quiz: Medicare Part B Ans: outpatient and office visits
voluntary supplemental medical insurance to help pay for physicians' and
other medical professionals' services, medical services, and medical-surgical
supplies not covered by part A
Quiz: Medicare Part C Ans: Medicare Advantage Plans; combined package
of benefits under Medicare Parts A and B that may offer extra coverage for
services such as vision, hearing, dental, health and wellness
Quiz: Medicare Part D Ans: Prescription drug coverage
Quiz: medigap Ans: a private health insurance that pays for most of the
charges not covered by A and B
Quiz: State Children's Health Insurance Program (SCHIP) Ans: a public
health insurance program, jointly funded by the federal and state
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