INSURANCE CLAIMS AND POSTING
INSURANCE PAYMENTS EXAM ACTUAL UPDATE
QUESTIONS AND VERIFIED ANSWERS
NPI (National Provider Identifier) - ANSWER a unique 10-digit identifier for covered health care
providers
CMS (Centers for Medicare and Medicaid Services) - ANSWER A divsion responsible for
developing a replacement for ICD-9 CM Volume 3 procedures codes
EOB (explanation of benefits) - ANSWER a document explaining payments made by the
insurance company.
EDI (electronic data interchange) - ANSWER electronic system required for filing electronic
claims to CMS (centers for Medicare and Medicaid Services)
ECT (electronic claims transmission) - ANSWER electronic claims sent to CMS (center of
Medicare and Medicaid Services)
ASCA (administrative simplification compliance act) - ANSWER specifies reasons a provider may
sumbit paper claims.
EMC (electronic media claim) - ANSWER method for monitoring the status and payment of
insurance company.