Billing for reimbursement my EXAM 7 Solved Questions & Answers Graded A+

The primary insured information is completed in fields 9, 9a and 9d for secondary claims. - Answer True Chloe's parents, Matt and Michelle have family insurance benefits. Matt's birthday is July 10, 1968, and Michelle's birthday is September 5, 1967, and they are married to each other. Which is the primary payer using the birthday rule? - Answer Matt In which case does the secondary carrier need to know what the primary carried paid? - Answer All of the above Medicare claims are automatically forwarded to Medicaid if Medicare is primary and Medicaid is secondary. - Answer True Which is a false statement? - Answer The birthday rules dictates that the parent whose birthday year falls earlier is the primary carrier When submitting secondary claims, this is a field that doesn't - Answer 2 When submitting claims this way, the primary carrier handles the coordination of benefits transaction by sending the secondary carrier the primary claim information electronically. - Answer Automatic crossover Stella and George have divorced, and Stella has custody of Macy; however, the court decree indicates that George is responsible for Macy's healthcare expenses. Which is the primary payer? - Answer George Marty lives with his mother and stepfather. Marty's mother's health plan is with Cigna, and Marty's father's health plan is with Health Services. His stepfather's health plan is with Blue Cross of Colorado. What is the order of the payer coverage? - Answer 1. Cigna 2. Blue cross of colorado 3. Health services Which is a false statement of the COB? - Answer It coordinates payments for services up to 50 percent of the covered chargesMelissa and John are married to each other, and each have insurance coverage through their employer. Because John's birthday is first in the calendar year, Melissa will have coverage through John's insurance first, with her insurance as the secondary coverage. - Answer False Which rule indicates the father's coverage is primary for all dependent children of parents not separated or divorced? - Answer Gender In the case of a divorce, which plan will pay first for the child? - Answer The plan of the parent with custody