Comprehensive Health Insurance Exam test
Questions and Verified Answers, 100%-
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Assignment of Benefits - CORRECT ANSWERS Permission granted by the insured that allows the
insurance company to send the amount paid directly to the physician, health care provider, hospital, or
nursing facility. If the patient does not sign the assignment of benefits, the insurance benefit check goes
to the policyholder.
Audit/ Edit report - CORRECT ANSWERS a report from a clearinghouse that lists errors to be
corrected before a claim can be submitted to the payer
Billing services - CORRECT ANSWERS A third party agency outside of the hospital or physician's
practice that is responsivle for submitting claims for the hospital or physicians practice
Birthday rule - CORRECT ANSWERS The guidelines that determines which of two married
parents with medical coverage from different employers has the primary insurance for a child; the
parent whose day of birth is earlier in the calendar year is considered primary
Claim attachment - CORRECT ANSWERS Additional documentation or information necessary
when submitting a claim.
Clean claims - CORRECT ANSWERS insurance claim forms that have been completed correctly
Clearinghouse - CORRECT ANSWERS a service company that recieves electronic or paper claims
from the provider, checks and prepares them for processing, and transmits them in HIPAA-complaint
format to the correct carriers
Questions and Verified Answers, 100%-
Score Guarantee Pass (Latest 2025/2026
rated A+
Assignment of Benefits - CORRECT ANSWERS Permission granted by the insured that allows the
insurance company to send the amount paid directly to the physician, health care provider, hospital, or
nursing facility. If the patient does not sign the assignment of benefits, the insurance benefit check goes
to the policyholder.
Audit/ Edit report - CORRECT ANSWERS a report from a clearinghouse that lists errors to be
corrected before a claim can be submitted to the payer
Billing services - CORRECT ANSWERS A third party agency outside of the hospital or physician's
practice that is responsivle for submitting claims for the hospital or physicians practice
Birthday rule - CORRECT ANSWERS The guidelines that determines which of two married
parents with medical coverage from different employers has the primary insurance for a child; the
parent whose day of birth is earlier in the calendar year is considered primary
Claim attachment - CORRECT ANSWERS Additional documentation or information necessary
when submitting a claim.
Clean claims - CORRECT ANSWERS insurance claim forms that have been completed correctly
Clearinghouse - CORRECT ANSWERS a service company that recieves electronic or paper claims
from the provider, checks and prepares them for processing, and transmits them in HIPAA-complaint
format to the correct carriers
