Understanding Health Insurance: A Guide to Billing and Reimbursement (MindTap Course List)
Understanding Health Insurance: A Guide to Billing and Reimbursement (MindTap Course List)
14th Edition
ISBN: 9781337554220
Author: Michelle A. Green
Publisher: Cengage Learning
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When the patient presents with a non life threatening issue, the provider is most likely to access the full electronic health record (EHR) to assess for A Patient history and allergies B Self pay status C Social Security number D Marital status
Emma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What are the patient's responsibility, discount amount, and the amount the carrier pays the provider?
Drag the missing term into each sentence/paragraph text related to completion of the 837 P claim. The HIPAA 837P uses the term for the insurance diagnosis account or guarantor, meaning the same as on the CMS-1500 clalm. The name and address of any than the subscriber or patient who has is reported if applicable. party, the entity or person other responsibility for the bill, submission line filing indicator code is an administrative code used to identify data health the type of plan, such as a PPO. and the subscriber are not the same person, an code is required to specify the patient's relationship When the claim attachment individual to the subscriber. Although sometimes called the patient number, the claim number should not be the same as the practice's account insured electronic number for the patient. The claim code, also called the claim financial policyholder code, for physician practice claims indicates whether this claim is an original, a or needs to be voided. A total of four…
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