« previous next »

Author Question: A claims examiner follows a systematic process in which he identifies all pertinent claim issues in ... (Read 103 times)

Frost2351

  • Hero Member
  • *****
  • Posts: 557
on: Jun 27, 2018
A claims examiner follows a systematic process in which he identifies all pertinent claim issues in order to maintain consistency and accuracy. Which of the following is NOT considered to be an issue that would be examined by this individual?
 
  a. Issues with eligibility at the time of the claim
  b. Indications of other possible coverage plans
  c. A determination of what the policy/plan language provides
  d. Issues of keeping the claimant informed

Question 2

Which of the following claims are NOT normally referred to more technical personnel?
 
  a. Lawsuits, legal actions, or legislative issues
  b. Flagged providers
  c. Fraud
  d. Major medical benefits


kristenb95

  • Sr. Member
  • ****
  • Posts: 318
Reply #1 on: Jun 27, 2018
Answer to Question 1

D

Answer to Question 2

D


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

The average adult has about 21 square feet of skin.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Coracoid process Coracoid process
Comparison of Steps of the Nursing Process with the Research Process Comparison of Steps of the Nursing Process with the Research Process
Hormones in the Digestive Process Hormones in the Digestive Process
Physical Geography and Environmental Issues Physical Geography and Environmental Issues
Environmental Issues Environmental Issues
Macrophage caught in the process of engulfing tuberculosis bacteria. Macrophage caught in the process of engulfing tuberculosis bacteria.
Video: Phases of mitosis

For a complete list of videos, visit our video library