Billing day 2

Multiple Choice

Professional provider will be used which of the below claim form to submit it to insurance company

• CMS 1500

• UB 04

Multiple Choice

How many boxes are there in CMS 1500 claim form?

• 31

• 32

• 30

• None of the above

Multiple Choice

What should be the resubmission code for corrected claim?

• 1

• 7

• 8

• 10

Multiple Choice

If AOB not signed by the patient, payer will make payment to_______

• Patient

• Provider

• Both Patient and provider

Multiple Choice

Which box number we can find diagnosis code in CMS 1500?

• 20

• 21

• 22

• 23

Multiple Choice

Rendering provider NPI# can be found under which box in CMS 1500

• 24A

• 24D

• 24E

• 24J

Multiple Choice

Billing provider address can be found under which box in CMS 1500?

• 31

• 32

• 33

• None of the above

Multiple Choice

Prior Authorization can be found under which tab in UB 04?

• 62

• 63

• 65

• 66

Multiple Choice

CPT codes can be billed in UB 04 claim form

• True

• False

Multiple Choice

The code that indicates in which department the procedure was performed and what equipments were used for treatment is called?

• Value codes

• Conditions codes

• Revenue codes

• Occurance code

Multiple Choice

Date of injury should be filled in claim form for which of the below insurance?

• Auto accident

• Workers compensations

• Medicare

• Champva