Exam 3: Basics of Health Insurance

In cases of divorce, the decision as to which parent should be responsible for payment of the child's services should be made by

When the physician's services have been submitted to the patient's insurance company by the physician's office, the patient should

Match each type of health plan to its description. -Insurance that covers off-the-job injury or sickness and is paid by deductions from a person's paycheck.

A key provision to the Affordable Care Act is the creation of central clearinghouses that offer "one-stop shopping" for purchasing health insurance coverage, which are known as: ____________________________

The source document for insurance claim data is the

The patient registration/information form is also called a patient ____________________ sheet.

Mrs. Thompsett leaves her place of employment. She is eligible to transfer her medical insurance coverage from a group to an individual contract. This is known as

Workers' compensation insurance covers off-the-job injuries.

An encounter form may also be known as a

What is the correct term used to determine if a procedure is covered and medically necessary?

A subscriber of an insurance policy may also be known as a policyholder.

An insurance claims register facilitates

An insurance policy is a legally enforceable agreement called a/an ____________________.

List the reasons that health care reform is necessary in the United States.

Match each type of health plan to its description. -Provides coverage for spouses and children of veterans with total, permanent, service-connected disabilities or for the surviving spouses and children of veterans who died as a result of service-connected disabilities.

If the premium of an insurance policy is not paid, a ____________________ from 10 to 30 days is usually given before insurance coverage is canceled.

Parents of a college student who is living away from home are liable for the medical expenses incurred by their financially dependent child.

If a patient has an individual insurance policy, a release of information does not have to be signed before the physician's office submits a claim to the insurance company.

Most physician/patient contracts are

Mr. Ott was laid off from his job. He is protected by the Consolidated Omnibus Budget Reconciliation Act (COBRA), which requires his employer to