This health insurance coverage is available to an individual and their dependents after becoming unemployed - either due to voluntary or involuntary termination of employment for reasons other than gross misconduct.

True or False: If a payer requests medical records, you have an obligation to comply.

What is the purpose of an Advanced Beneficiary Notice?

True or False? ERISA includes PPOs, POS, and HMO benefit plans.

Hospital beds, wheelchairs and oxygen equipment would be considered examples of:

When submitting a secondary claim, what is the name of the document that must be attached?

Identify the order of events after a claim reaches the insurance carrier: 1.Application of leftover deductible 2.Examining the procedures performed and the 'medical necessity' on these procedures 3.Application of 'allowable payments options' for every procedure performed 4.Review of the claim for proper formatting and information

Which information is needed to complete the CMS 1500 form?

What does the bottom of the CMS 1500 Form report?

What is an accident rider?

Which is not a kind of third-party reimbursement?