Kinn's Medical Assistant 14th Edition-
CH 12 Test Bank Questions With
Verified Answers 2025\2026 Edition.
beneficiary - Answer a designated person who receives funds from an insurance policy
capitation - Answer a payment arrangement for healthcare providers
claim - Answer a formal request for payment from an insurance company for services provided
explanation of benefits (EOB) - Answer a document sent by the insurance company to the
provider and the patient explaining the allowed charge amount, the amount reimbursed for
services, and the patient's financial responsibilities.
fee schedule - Answer a list of fixed fees for services
gatekeeper - Answer a primary care provider who refers patients to other providers for
services he or she cannot perform
health insurance exchange - Answer an online marketplace where people can compare and
buy individual health insurance plans.
indigent - Answer poor, needy, impoverished
online insurance web portal - Answer an online service provided by various insurance
companies that allows providers to look up a patient's insurance benefits, eligibility, claims
status, and explanation of benefits.
policy - Answer a written agreement between two parties in which one party (the insurance
company) agrees to pay another party (the patient) if certain specified circumstances occur
preauthorization - Answer A process required by some insurance carriers in which the
provider obtains permission to perform certain procedures or services or refers a patient to a
specialist.
CH 12 Test Bank Questions With
Verified Answers 2025\2026 Edition.
beneficiary - Answer a designated person who receives funds from an insurance policy
capitation - Answer a payment arrangement for healthcare providers
claim - Answer a formal request for payment from an insurance company for services provided
explanation of benefits (EOB) - Answer a document sent by the insurance company to the
provider and the patient explaining the allowed charge amount, the amount reimbursed for
services, and the patient's financial responsibilities.
fee schedule - Answer a list of fixed fees for services
gatekeeper - Answer a primary care provider who refers patients to other providers for
services he or she cannot perform
health insurance exchange - Answer an online marketplace where people can compare and
buy individual health insurance plans.
indigent - Answer poor, needy, impoverished
online insurance web portal - Answer an online service provided by various insurance
companies that allows providers to look up a patient's insurance benefits, eligibility, claims
status, and explanation of benefits.
policy - Answer a written agreement between two parties in which one party (the insurance
company) agrees to pay another party (the patient) if certain specified circumstances occur
preauthorization - Answer A process required by some insurance carriers in which the
provider obtains permission to perform certain procedures or services or refers a patient to a
specialist.
