HIM 130 Test 3 Exam Review
questions n answers
Adjudication - correct answer ✔✔What is the process called to either pay , reject , deny , etc. a
claim?
Suspended - correct answer ✔✔What is the claim status when the payer is developing the claim
?
The initial processing , automated review , manual review , determination and payment -
correct answer ✔✔What is the correct order for the basic steps of a payer's adjudication
process ?
Corrections by asking the payer to reopen the claim and make the changes - correct answer
✔✔Minor errors found by the practice on transmitted claims require what to happen ?
Unpaid claims - correct answer ✔✔What type data is on an aging report ?
After the claim is paid . - correct answer ✔✔When is an explanation of benefits ( EOB ) sent to
patients ?
Both the amount the provider is allowed and the amount the patient owes . - correct answer
✔✔An RA ( Remittance Advice ) shows what ?
Adjustments , denials , errors - correct answer ✔✔RA's generally include what information ?
questions n answers
Adjudication - correct answer ✔✔What is the process called to either pay , reject , deny , etc. a
claim?
Suspended - correct answer ✔✔What is the claim status when the payer is developing the claim
?
The initial processing , automated review , manual review , determination and payment -
correct answer ✔✔What is the correct order for the basic steps of a payer's adjudication
process ?
Corrections by asking the payer to reopen the claim and make the changes - correct answer
✔✔Minor errors found by the practice on transmitted claims require what to happen ?
Unpaid claims - correct answer ✔✔What type data is on an aging report ?
After the claim is paid . - correct answer ✔✔When is an explanation of benefits ( EOB ) sent to
patients ?
Both the amount the provider is allowed and the amount the patient owes . - correct answer
✔✔An RA ( Remittance Advice ) shows what ?
Adjustments , denials , errors - correct answer ✔✔RA's generally include what information ?
