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Match the Following

Question 82

Matching

Match the following:

Premises:
Claim form used by hospitals to report services to insurance carriers
Form that allows payment to be made directly from an insurance carrier to the physician
A company hired by physician offices to file claims on their behalf
Form used by the provider to document ICD-9 and CPT codes from the patient visit
Form that allows protected health information to be sent to an insurance carrier as part of the claims process
The person who purchased an insurance policy
The company that provides data- and claims-processing services to medical practices
Form containing demographic, employment, and insurance information about a patient
The person ultimately responsible for paying for medical services
Claim form used to report services provided by physicians
Responses:
patient information form
clearinghouse
assignment of benefits
UB-04
policyholder
superbill
release of information form
billing service
guarantor
CMS-1500

Correct Answer:

Claim form used by hospitals to report services to insurance carriers
Form that allows payment to be made directly from an insurance carrier to the physician
A company hired by physician offices to file claims on their behalf
Form used by the provider to document ICD-9 and CPT codes from the patient visit
Form that allows protected health information to be sent to an insurance carrier as part of the claims process
The person who purchased an insurance policy
The company that provides data- and claims-processing services to medical practices
Form containing demographic, employment, and insurance information about a patient
The person ultimately responsible for paying for medical services
Claim form used to report services provided by physicians
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