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Health Care 101

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

What does the acronym CMS stand for?

a)

Claims Medical Specialist

b)

Centers for Medicare & Medicaid Services

c)

Centers for Medicare Services

d)

Centers for Medicaid Services

2.

A cost share required to be paid by the member at time of service.

a)

Cost Share

b)

Coinsurance

c)

Copay

d)

Claim

3.

The individual who renders a service.

a)

Provider

b)

Protector

c)

Nurse

d)

Insurance Carrier

4.

EOB

a)

End of Block

b)

Eggs Over Bacon

c)

Explanation of Benefits

d)

Explanation of Billing

5.

The member who owns the insurance plan.

a)

Owner

b)

Subscriber

c)

Dependent

d)

Primary

6.

DOS

a)

Date of Service

b)

Denial of Service

c)

Disk Operating System

d)

Date of Submission

7.

A set amount that the member must pay of covered services before the insurance carrier will begin to pay.

a)

Dependent

b)

Deductible

c)

Copay

d)

Coinsurance

8.

Amount of money which the insured pays a percentage of the payment made against a claim.

a)

Copay

b)

Coin

c)

Check

d)

Coinsurance

9.

What may be required before a service can be provider and/or paid?

a)

Referral

b)

Authorization

c)

Request

d)

Appeal

10.

POS

a)

Point of Service

b)

Point of Sales

c)

Point of Place

d)

Place of Service