Insurance terms true or false chapter 3

After World War II, group health insurance became a commonly accepted employment benefit.

• True

• False

Medicare covers all health care expenses.

• True

• False

It is likely that all claims in the United States will eventually be filed electronically.

• True

• False

A co-payment is a fixed percentage of covered charges after the deductible is met.

• True

• False

Expenses such as routine eye examinations or dental care not covered by an insurance company are called exclusions.

• True

• False

A medical assistant has the responsibility to interpret the patient's insurance policy or extent of coverage.

• True

• False

Some insurers will not pay a claim unless it is filed within 6 months of the date of service.

• True

• False

The concept of usual, customary, and reasonable (UCR) fees was originally developed by Congress to pay medical insurance claims under Medicare.

• True

• False

The Health Care Financing Administration (HCFA) is the most common insurance claim form.

• True

• False

Fold the HCFA-1500 form for OCR before mailing.

• True

• False