CLAIM PAID - QUIZ

What are the different mode of payments do we have?

• Check.

• EFT.

• Virtual credit card.

• All the above.

  Check submitted to incorrect address, what are the steps we follow?

• Ask for check issued date.

• Request for check tracer.

• Request to stop the check and submit the w9 form.

• None of the above.

3.       Check issued date has crossed 30 days, what all steps do we need to follow?

• a)       Claim#, call ref# and end the call.

• b)      Collect the check status – Encashment details.

• c)       Request for EOB.

• d)      Send to payment posting team.

4.       Paid amount is calculated from?

• a)       Billed amount.

• b)      Patient responsibility.

• c)       Contractual adjustment.

• d)      Allowed amount.

5.       In CMS1500 bill form, in which box# the Provider billing address is available?

• a)       Box# 22.

• b)      Box# 15.

• c)       Box# 33.

• d)      Box# 23.

6.       When will probe rep to place Check tracer?

• a)       If check date is within 30 days.

• b)      If check issued on incorrect mailing address.

• c)       If check information is not available.

• d)      None of above

7.       If claim paid via EFT then we need to ask Transaction ref#, Last 4 digits of card# and card expiry date?

• a)       True.

• b)      False.

8.       Once we receive all the payment details from payer along with EOB, to which department will forward the claim?

• a.       Coding Team.

• b.       Client.

• c.       Payment Posting.

• d.       Billing.

9.     Please choose correct Answer. What are PR1 and PR2?

• a)     PR1: Copay and PR2: Co-insurance.

• b)    PR1: Deductible and PR2: Copay.

• c)    PR1: Deductible and PR2: Co-insurance.

• d)      PR1: Co-insurance and PR2: Deductible.

10.   _______is a process by which the payments received from insurance companies, patients and other entities towards settlement of claims ?

• a)    Payment Posting.

• b)    Charge entry.

• c)       Account receivables.

• Coding Team