Medical Billing 101 ~ Final - Questions with
Revised Answers| Verified 100% Correct
what is a Write off - ✔✔Dollar amt adjustment due from patient/ins. co. to reflect
zero balance due on claim in question or sometimes patient's entire bal.
Collection Agency is ? - ✔✔Agency retained by the practice for purpose of collecting
debts.
Department of Insurance - ✔✔Government agency in charge of controlling &
regulating ins. co.
State Insurance Commissioner - ✔✔Appointed official in charge of each state's Dept.
of Ins.
Discount - ✔✔Reduced fee.
Medical discount card - ✔✔Card listing patient's name, verifies patient can receive
discount on services if provider participates.
Dependents - ✔✔Person covered under policyholder.
Family coverage - ✔✔Health ins. covering employee, spouse & child.
Parent/child - ✔✔Health ins. covering employee & child
, E/S ~ Employee/Significant Other - ✔✔Health ins. covering employee & significant
other.
H/W ~ Husband/Wife - ✔✔Health ins. covering employee & spouse.
Employee - ✔✔Employed person covered under employer's group health plan.
Individual - ✔✔Only person covered under a health ins. plan.
Coverage - ✔✔Existing health coverage.
Tricare extra - ✔✔Plan available ONLY to retired service members & families not
available overseas.
Tricare standard - ✔✔Plan available ONLY to retired service members & families in
US & overseas.
Tricare prime - ✔✔Coverage for active/retired service members.
PPN ~ Preferred Provider Network - ✔✔Civilian medical providers contracted with
Tricare.
MTF ~ Military Treatment Facility - ✔✔Place where Tricare members receive medical
treatment.
Referral - ✔✔Permission from primary care physician to seek services from a
specialist.
Revised Answers| Verified 100% Correct
what is a Write off - ✔✔Dollar amt adjustment due from patient/ins. co. to reflect
zero balance due on claim in question or sometimes patient's entire bal.
Collection Agency is ? - ✔✔Agency retained by the practice for purpose of collecting
debts.
Department of Insurance - ✔✔Government agency in charge of controlling &
regulating ins. co.
State Insurance Commissioner - ✔✔Appointed official in charge of each state's Dept.
of Ins.
Discount - ✔✔Reduced fee.
Medical discount card - ✔✔Card listing patient's name, verifies patient can receive
discount on services if provider participates.
Dependents - ✔✔Person covered under policyholder.
Family coverage - ✔✔Health ins. covering employee, spouse & child.
Parent/child - ✔✔Health ins. covering employee & child
, E/S ~ Employee/Significant Other - ✔✔Health ins. covering employee & significant
other.
H/W ~ Husband/Wife - ✔✔Health ins. covering employee & spouse.
Employee - ✔✔Employed person covered under employer's group health plan.
Individual - ✔✔Only person covered under a health ins. plan.
Coverage - ✔✔Existing health coverage.
Tricare extra - ✔✔Plan available ONLY to retired service members & families not
available overseas.
Tricare standard - ✔✔Plan available ONLY to retired service members & families in
US & overseas.
Tricare prime - ✔✔Coverage for active/retired service members.
PPN ~ Preferred Provider Network - ✔✔Civilian medical providers contracted with
Tricare.
MTF ~ Military Treatment Facility - ✔✔Place where Tricare members receive medical
treatment.
Referral - ✔✔Permission from primary care physician to seek services from a
specialist.
