Chapter 4 Midterm Exam Questions And
All Correct Answers.
Accept Assignment - Answer the provider agrees to accept what the insurance company approves as
payment in full for the claim
allowed charges - Answer maximun fee a pahysician can charge
appeal - Answer document letter signed by the provider explaining why a claim should be reconsidered
for payment
Assignment of benefits - Answer reimbursement is directly sent from the payer to the provider. Patient
signs to have payment to go the doctor
birthday rule - Answer policy holder who's birthday comes first in year is primary
chargemaster - Answer term hospitals use to describe patient encounter form (superbill)
claims attachment - Answer medical form substantiating a medical condition
clearing house - Answer public or private entity that process or facilatates the processing of non
standard data elements into standard data elements
day sheet - Answer chronologic summary of all transactions posted to indivual patient ledgers, on
accounts on a specific day
deductible - Answer amount patient is financially responsible before insurance pays
All Correct Answers.
Accept Assignment - Answer the provider agrees to accept what the insurance company approves as
payment in full for the claim
allowed charges - Answer maximun fee a pahysician can charge
appeal - Answer document letter signed by the provider explaining why a claim should be reconsidered
for payment
Assignment of benefits - Answer reimbursement is directly sent from the payer to the provider. Patient
signs to have payment to go the doctor
birthday rule - Answer policy holder who's birthday comes first in year is primary
chargemaster - Answer term hospitals use to describe patient encounter form (superbill)
claims attachment - Answer medical form substantiating a medical condition
clearing house - Answer public or private entity that process or facilatates the processing of non
standard data elements into standard data elements
day sheet - Answer chronologic summary of all transactions posted to indivual patient ledgers, on
accounts on a specific day
deductible - Answer amount patient is financially responsible before insurance pays
