Medical Insurance and Billing Exam
Questions and Answers (Latest
Update 2026)
A medical assistant has a patient who has a HMO insurance plan.
The provider would like the patient to see a cardiologist. Which of
the following forms should the medical assistant use for this
request -
correct answer ✅Referral
Dr. Smith is a family medicine doctor who is "in-network" for
insurance A. Which of the following is true -
correct answer ✅She is a participating provider
What is the amount that insurance companies consider to be an
appropriate fee for a given service -
correct answer ✅Allowed amount
Which of the following is true regarding Workmans Compensation
visits -
correct answer ✅All charges are submitted to the workman's
compensation insurance company
A medical assistant sees that a patient has signed an Advance
Beneficiary notice for a test that the patient requested. After
receiving denial of payment from the insurance company, which of
, Medical Insurance and Billing Exam
Questions and Answers (Latest
Update 2026)
the following actions should the assistant take? -
correct answer ✅Bill the patient
If a child has parents who both have insurance how does the
medical assistant file the claim -
correct answer ✅The claim is filed to the parent with the birthday
that comes first in the calendar year
A patient authorizes a third-party payer to reimburse a provider
directly by signing which of the following? -
correct answer ✅assignment of benefits
Which federal insurance provides medical care for active military -
correct answer ✅TRICARE
When federal insurance provides medical care for economically
challenged individuals -
correct answer ✅Medicaid
Questions and Answers (Latest
Update 2026)
A medical assistant has a patient who has a HMO insurance plan.
The provider would like the patient to see a cardiologist. Which of
the following forms should the medical assistant use for this
request -
correct answer ✅Referral
Dr. Smith is a family medicine doctor who is "in-network" for
insurance A. Which of the following is true -
correct answer ✅She is a participating provider
What is the amount that insurance companies consider to be an
appropriate fee for a given service -
correct answer ✅Allowed amount
Which of the following is true regarding Workmans Compensation
visits -
correct answer ✅All charges are submitted to the workman's
compensation insurance company
A medical assistant sees that a patient has signed an Advance
Beneficiary notice for a test that the patient requested. After
receiving denial of payment from the insurance company, which of
, Medical Insurance and Billing Exam
Questions and Answers (Latest
Update 2026)
the following actions should the assistant take? -
correct answer ✅Bill the patient
If a child has parents who both have insurance how does the
medical assistant file the claim -
correct answer ✅The claim is filed to the parent with the birthday
that comes first in the calendar year
A patient authorizes a third-party payer to reimburse a provider
directly by signing which of the following? -
correct answer ✅assignment of benefits
Which federal insurance provides medical care for active military -
correct answer ✅TRICARE
When federal insurance provides medical care for economically
challenged individuals -
correct answer ✅Medicaid
