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Which type of health insurance coverage is subsidized by employers and other organizations?
dates of service for procedures
reimbursement specialist
determining medical necessity of services/procedures.
medical care
policyholder
third-party payer
group health insurance
is not responsible for paying what the insurance plan denies.
Which is another name for a health insurance specialist?
dates of service for procedures
reimbursement specialist
determining medical necessity of services/procedures.
medical care
policyholder
third-party payer
group health insurance
is not responsible for paying what the insurance plan denies.
If the insurance plan has a hold harmless clause, it means that the patient
dates of service for procedures
reimbursement specialist
determining medical necessity of services/procedures.
medical care
policyholder
third-party payer
group health insurance
is not responsible for paying what the insurance plan denies.
Which provides health insurance coverage?
dates of service for procedures
reimbursement specialist
determining medical necessity of services/procedures.
medical care
policyholder
third-party payer
group health insurance
is not responsible for paying what the insurance plan denies.
A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to
dates of service for procedures
reimbursement specialist
determining medical necessity of services/procedures.
medical care
policyholder
third-party payer
group health insurance
is not responsible for paying what the insurance plan denies.
Which party signs a contract with a health insurance company and thus, owns the health insurance policy?
dates of service for procedures
reimbursement specialist
determining medical necessity of services/procedures.
medical care
policyholder
third-party payer
group health insurance
is not responsible for paying what the insurance plan denies.
Which includes the identification of disease and the provision of care and treatment to persons who are sick, injured, or concerned about their health status?
dates of service for procedures
reimbursement specialist
determining medical necessity of services/procedures.
medical care
policyholder
third-party payer
group health insurance
is not responsible for paying what the insurance plan denies.
The process of reporting __________ as numeric and alphanumeric characters on the insurance claim is called coding.
dates of service for procedures
reimbursement specialist
determining medical necessity of services/procedures.
medical care
policyholder
third-party payer
group health insurance
is not responsible for paying what the insurance plan denies.
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