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MEDICAL BILLING & CODING CH.7 EXAM QUESTIONS AND ANSWERS. VERIFIED 2026.

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MEDICAL BILLING & CODING CH.7 EXAM QUESTIONS AND ANSWERS. VERIFIED 2026.

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MEDICAL BILLING & CODING
Course
MEDICAL BILLING & CODING

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MEDICAL BILLING & CODING CH.7
EXAM QUESTIONS AND ANSWERS.
VERIFIED 2026.




If the patient has group contract insurance with a private payer, which type of insurance is
selected in Item Number 1 of the CMS-1500 form? - ANS Group Health Plan



What Item Number of the CMS-1500 claim form must be marked yes if Item Numbers 9, 9a, and
9d are completed? - ANS Item Number 11d



_____ codes are two-digit numeric or alphanumeric codes used to report a special condition or
unique circumstance about a claim. - ANS Condition



Which of the following statements are true of Item Number 7: Insured's Address on the CMS-
1500 form? (Select all that apply.) - ANS The address of the person listed in IN 4 should be
used.

This field refers to the insured's permanent residence.



When do you report the patient's information in Item Number 5 of the CMS-1500 claim form? -
ANS Only if it is different from the insured's information




1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.

, Which of the following is a correct claim code that would be entered in Item Number 10d of the
CMS-1500 claim form? - ANS BGAH



Regarding the area indicating the sex (gender) of the insured in Item Number 11a of the CMS-
1500 claim form? (Select all that apply.) - ANS Only one box, either male or female, can be
checked.

No box is checked if the gender is unknown.



What number is the nine-digit alphanumeric identifier assigned to a patient who is an employee
of the federal government claiming work-related condition(s) under the Federal Employees'
Compensation Act? - ANS FECA



If a husband is covered by his employer's group policy and by his wife's group health plan,
where would you enter the wife's name on the CMS-1500 claim form? - ANS Item Number 9



When a legal signature is used in IN 12 of the CMS-1500 claim form, which of the following
formats are used when entering the date signed? (Select all that apply.) - ANS MM/DD/YY

MM/DD/YYYY



What Item Number of the CMS-1500 claim form indicates that the insured's or authorized
person's signature is on file authorizing payment of medical benefits directly to the provider of
the services listed on the claim? - ANS Item Number 13



If there is no signature on file for the insured, which of the following can be entered in IN 13 of
the CMS-1500 claim form? (Select all that apply.) - ANS "No Signature on File"

Leave blank



The date entered in Item Number 14 of the CMS-1500 claim form refers to which of the
following dates about the patient? (Select all that apply.) - ANS First date of onset of illness

2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.

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