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Which may specifically result in the early detection of health problems, allowing less drastic and less expensive treatment options?
reimbursement specialist
is not responsible for paying what the insurance plan denies.
determining medical necessity of services/procedures.
dates of service for procedures
preventive examination
policyholder
medical care
group health insurance
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?
reimbursement specialist
is not responsible for paying what the insurance plan denies.
determining medical necessity of services/procedures.
dates of service for procedures
preventive examination
policyholder
medical care
group health insurance
If the insurance plan has a hold harmless clause, it means that the patient
reimbursement specialist
is not responsible for paying what the insurance plan denies.
determining medical necessity of services/procedures.
dates of service for procedures
preventive examination
policyholder
medical care
group health insurance
Which party signs a contract with a health insurance company and thus, owns the health insurance policy?
reimbursement specialist
is not responsible for paying what the insurance plan denies.
determining medical necessity of services/procedures.
dates of service for procedures
preventive examination
policyholder
medical care
group health insurance
Which is another name for a health insurance specialist?
reimbursement specialist
is not responsible for paying what the insurance plan denies.
determining medical necessity of services/procedures.
dates of service for procedures
preventive examination
policyholder
medical care
group health insurance
Which type of health insurance coverage has costs that are typically less per person and provides broader coverage?
reimbursement specialist
is not responsible for paying what the insurance plan denies.
determining medical necessity of services/procedures.
dates of service for procedures
preventive examination
policyholder
medical care
group health insurance
The process of reporting __________ as numeric and alphanumeric characters on the insurance claim is called coding.
reimbursement specialist
is not responsible for paying what the insurance plan denies.
determining medical necessity of services/procedures.
dates of service for procedures
preventive examination
policyholder
medical care
group health insurance
A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to
reimbursement specialist
is not responsible for paying what the insurance plan denies.
determining medical necessity of services/procedures.
dates of service for procedures
preventive examination
policyholder
medical care
group health insurance
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