MOA MIDTERM FINAL EXAM (COMPLETE REVIEW)
QUESTIONS AND ANSWERS
A bed patient in a hospital is called _____________.
a. inpatient
b. outpatient
c. third party payer
d. provider - CORRECT ANSWER✅✅✅a
One who acts for the insured or the carrier in a claim is called ___________.
a. member physician
b. adjuster
c. provider
d. subscriber - CORRECT ANSWER✅✅✅b
A request for payment under an insurance contractor bond is called a(n) _______________.
a. insurance application
b. claim
c. dual choice request
d. total disability - CORRECT ANSWER✅✅✅b
Payment made periodically to keep an insurance policy in force is called _____________.
a. time limit
b. premium
c. coinsurance
,d. fee-for-service - CORRECT ANSWER✅✅✅b
A person or institution that gives medical care is a(n) ___________.
a. third-party payer
b. provider
c. adjuster
d. insurance agent - CORRECT ANSWER✅✅✅b
Specific hazards or perils listed in an insurance policy for which the insurance company will not pay is
called ___________.
a. elimination period
b. exclusions
c. non duplication of benefits
d. excepted period - CORRECT ANSWER✅✅✅b
Benefits in the form of cash payments rather than service are called _____________.
a. indemnity
b. hospital benefits
c. catastrophic health
d. none of the above - CORRECT ANSWER✅✅✅a
An amount the insured must pay before policy benefits begin is called ______________.
a. indemnity
b. extended benefits
c. deductible
,d. catastrophic - CORRECT ANSWER✅✅✅c
An organization that offers insurance against losses in exchange for a premium is called ____________.
a. rider
b. carrier
c. member physician
d. provider - CORRECT ANSWER✅✅✅b
Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or
disabilities is called _____________.
a. catastrophic
b. severe
c. third-party payer
d. none of the above - CORRECT ANSWER✅✅✅a
A patient receiving ambulatory care at a hospital or other facility without being admitted as a bed
patient is called a(n) ___________.
a. inpatient
b. outpatient
c. carrier
d. adjuster - CORRECT ANSWER✅✅✅b
An illness or injury that prevents an insured from performing one or more of the functions of his regular
job is called a ______________.
a. permanent disability
b. partial disability
, c. preexisting condition
d. total disability - CORRECT ANSWER✅✅✅b
A previous injury, disease or physical condition that existed before the health insurance policy was
issued is called _____________.
a. preexisting condition
b. prior exposure
c. foregoing condition
d. none of the above - CORRECT ANSWER✅✅✅a
One who belongs to a group insurance plan is called ___________.
a. third-party payer
b. subscriber
c. carrier
d. none of the above - CORRECT ANSWER✅✅✅b
A sum of money provided in an insurance policy, payable for covered services is called ____________.
a. deductible
b. benefits
c. dues payable
d. premium - CORRECT ANSWER✅✅✅b
To prevent the insured from receiving a duplicate payment for losses under more than one insurance
policy is called ____________.
a. fee-for-service
QUESTIONS AND ANSWERS
A bed patient in a hospital is called _____________.
a. inpatient
b. outpatient
c. third party payer
d. provider - CORRECT ANSWER✅✅✅a
One who acts for the insured or the carrier in a claim is called ___________.
a. member physician
b. adjuster
c. provider
d. subscriber - CORRECT ANSWER✅✅✅b
A request for payment under an insurance contractor bond is called a(n) _______________.
a. insurance application
b. claim
c. dual choice request
d. total disability - CORRECT ANSWER✅✅✅b
Payment made periodically to keep an insurance policy in force is called _____________.
a. time limit
b. premium
c. coinsurance
,d. fee-for-service - CORRECT ANSWER✅✅✅b
A person or institution that gives medical care is a(n) ___________.
a. third-party payer
b. provider
c. adjuster
d. insurance agent - CORRECT ANSWER✅✅✅b
Specific hazards or perils listed in an insurance policy for which the insurance company will not pay is
called ___________.
a. elimination period
b. exclusions
c. non duplication of benefits
d. excepted period - CORRECT ANSWER✅✅✅b
Benefits in the form of cash payments rather than service are called _____________.
a. indemnity
b. hospital benefits
c. catastrophic health
d. none of the above - CORRECT ANSWER✅✅✅a
An amount the insured must pay before policy benefits begin is called ______________.
a. indemnity
b. extended benefits
c. deductible
,d. catastrophic - CORRECT ANSWER✅✅✅c
An organization that offers insurance against losses in exchange for a premium is called ____________.
a. rider
b. carrier
c. member physician
d. provider - CORRECT ANSWER✅✅✅b
Health insurance that provides protection against the high cost of treating severe or lengthy illnesses or
disabilities is called _____________.
a. catastrophic
b. severe
c. third-party payer
d. none of the above - CORRECT ANSWER✅✅✅a
A patient receiving ambulatory care at a hospital or other facility without being admitted as a bed
patient is called a(n) ___________.
a. inpatient
b. outpatient
c. carrier
d. adjuster - CORRECT ANSWER✅✅✅b
An illness or injury that prevents an insured from performing one or more of the functions of his regular
job is called a ______________.
a. permanent disability
b. partial disability
, c. preexisting condition
d. total disability - CORRECT ANSWER✅✅✅b
A previous injury, disease or physical condition that existed before the health insurance policy was
issued is called _____________.
a. preexisting condition
b. prior exposure
c. foregoing condition
d. none of the above - CORRECT ANSWER✅✅✅a
One who belongs to a group insurance plan is called ___________.
a. third-party payer
b. subscriber
c. carrier
d. none of the above - CORRECT ANSWER✅✅✅b
A sum of money provided in an insurance policy, payable for covered services is called ____________.
a. deductible
b. benefits
c. dues payable
d. premium - CORRECT ANSWER✅✅✅b
To prevent the insured from receiving a duplicate payment for losses under more than one insurance
policy is called ____________.
a. fee-for-service
