This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A provider's office submits a claim for payment two years after the services were rendered to the ... (Read 79 times)

scienceeasy

  • Hero Member
  • *****
  • Posts: 565
on: Jun 27, 2018
A provider's office submits a claim for payment two years after the services were rendered to the patient. The filing period for the insurance company is 12 months. What would be the result for this claim?
 A) rejection
  B) denial
  C) payment
 D)appeal

Question 2

A patient requires a cardiac catheterization procedure to be done as an outpatient at a local hospital. This procedure is performed, and the claim is sent to the clearinghouse for processing. The provider receives an explanation of benefits (EOB) detailing that the claim was not preauthorized, and therefore __________ are paid to the provider.
 A) 0
  B) 100
  C) 150
 D)200


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Kjones0604

  • Sr. Member
  • ****
  • Posts: 327
Reply #1 on: Jun 27, 2018
Answer to Question 1

B

Answer to Question 2

A


scienceeasy

  • Member
  • Posts: 565
Reply 2 on: Jun 27, 2018
Great answer, keep it coming :)

LVPMS

  • Member
  • Posts: 323
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Did you know?

Though “Krazy Glue” or “Super Glue” has the ability to seal small wounds, it is not recommended for this purpose since it contains many substances that should not enter the body through the skin, and may be harmful.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

The approval of a new drug is a four-stage process: (1) preclinical investigation, (2) clinical inve The approval of a new drug is a four-stage process: (1) preclinical investigation, (2) clinical inve
This portrait of Thomas Jefferson is considered an accurate likeness, painted when he was thirty-sev This portrait of Thomas Jefferson is considered an accurate likeness, painted when he was thirty-sev
Harvey Milk was the first openly gay candidate to be elected to office in California. Harvey Milk was the first openly gay candidate to be elected to office in California.
Instructions for Completing the CMS-1500 (02/12) Claim Form Continued Instructions for Completing the CMS-1500 (02/12) Claim Form Continued
Americium-243 has a decay constant of 9.39 × 10-5 years-1. How long will it take Americium-243 has a decay constant of 9.39 × 10-5 years-1. How long will it take
A mortgage loan of $132,000 at 6% compounded semiannually is to be amortized over 25 years by ... A mortgage loan of $132,000 at 6% compounded semiannually is to be amortized over 25 years by ...
Video: Genetic terms Animation

For a complete list of videos, visit our video library