CMS 1500 CLAIM FORM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
_________ means the patient has authorized the payment of benefits
directly to the provider Ans✓✓✓Assignment of benefits
Which of the following is not included in the insurance carrier's role ?
Ans✓✓✓Collect a copayment from the physician
The date in block 14 is the date Ans✓✓✓onset of illness
A Superbill/encounter form provides which of the following?
Ans✓✓✓Procedures and charges
The federal tax ID number (box 25) for the provider filing the claim can
be presented as Ans✓✓✓SSN and EIN
Which of the following is recommended when a claim is not paid within
thirty days ? Ans✓✓✓Investigate the carrier's policies regarding usual
turnaround time.
Which of the following is the universal health insurance claim form for
the medical office ? Ans✓✓✓CMS 1500
, ________ insurance carriers can be identified when using the CMS-1500
form. Ans✓✓✓Two
A claim that is printed and mailed to the carrier is called a(n) _______
copy Ans✓✓✓hard
A physician who requests a consultation from a specialist is a
Ans✓✓✓Referring physician
A secondary health plan is noted in which block ? Ans✓✓✓11d
The definition of electronic data interchange is Ans✓✓✓Transferring
data back and forth between two or more entities
Which of the following steps to medical billing should be performed
prior to rendering medical services? Ans✓✓✓Verify the patient's
eligibility for insurance coverage and collect patient insurance
information
The claim's process is limited to _______ procedures per office visit
Ans✓✓✓Unlimited
Which portion of the claim form contains physician or facility
information? Ans✓✓✓The last part
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
_________ means the patient has authorized the payment of benefits
directly to the provider Ans✓✓✓Assignment of benefits
Which of the following is not included in the insurance carrier's role ?
Ans✓✓✓Collect a copayment from the physician
The date in block 14 is the date Ans✓✓✓onset of illness
A Superbill/encounter form provides which of the following?
Ans✓✓✓Procedures and charges
The federal tax ID number (box 25) for the provider filing the claim can
be presented as Ans✓✓✓SSN and EIN
Which of the following is recommended when a claim is not paid within
thirty days ? Ans✓✓✓Investigate the carrier's policies regarding usual
turnaround time.
Which of the following is the universal health insurance claim form for
the medical office ? Ans✓✓✓CMS 1500
, ________ insurance carriers can be identified when using the CMS-1500
form. Ans✓✓✓Two
A claim that is printed and mailed to the carrier is called a(n) _______
copy Ans✓✓✓hard
A physician who requests a consultation from a specialist is a
Ans✓✓✓Referring physician
A secondary health plan is noted in which block ? Ans✓✓✓11d
The definition of electronic data interchange is Ans✓✓✓Transferring
data back and forth between two or more entities
Which of the following steps to medical billing should be performed
prior to rendering medical services? Ans✓✓✓Verify the patient's
eligibility for insurance coverage and collect patient insurance
information
The claim's process is limited to _______ procedures per office visit
Ans✓✓✓Unlimited
Which portion of the claim form contains physician or facility
information? Ans✓✓✓The last part
