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WorksheetsLevel 1 test- BG
Total questions: 20
Worksheet time: 10mins
Insurance helps to
Prevent adverse situations from occurring
Reduce the financial consequences of adverse situations
Negate all consequences of adverse situations
Make assets continuously productive
Which of the following intermediaries sell insurance products
Insurance Brokers/ Agents
Third Party Administrators
Surveyors
All the above intermediaries sell products
The
principle of _____________ ensures that an insured does not profit by
insuring with multiple insurers
Subrogation
Contribution
Co-insurance
Indemnity
Day Care procedures are
Lithotripsy
Chemotherapy
Cataract
All of the Above
In R.T.A cases it is important to acquire
FIR copy
MLC copy
Doctor’s certificate confirming the status as non- drugged
All of the above
Reasons of claim denial are
Past history not declared in health policy
Hospital not on panel
Age of the insured is above 60 years
Claim not intimated to Insurance Company
In case the claim amount is more than 1 lac __________ is mandatory requirement
Prior intimation to insurance company
KYC documents
Doctor’s Justification why the amount is beyond 1 Lac
All of the above
Pre-existing condition means
Any treatment taken prior to the inception of the policy
Disease present in the body before the inception of the policy, whether known or unknown
If the insured has any sign, symptoms or has undergone treatment of particular disease while applying for health insurance policy
If the insured has any sign, symptoms or has undergone treatment of particular disease before the inception of the policy
Cataract surgery in a retail health policy is covered ______
Immediately
3 Years
2 Years
30 Days
C.G.H.S memo/ referral letter is valid for
30 days
7 days
14 days
none of the above
Query raised by insurance in case of pre-auth is due to
Past History
1st Consultation letter
KYC
All of the above
Only a & b
TAT for CGHS claim payment receipt is
180 days
90 days
45 days
None of the above
Average TAT for PPN empanelment is
180 days
90 days
60 days
None of the above
Identify which item from below list falls under payable list under retail health policy
Laundry Charges
Eye shield
Disposable razor charges
None of the above
GIPSA stands for ____________________
General Insurers' Public Sector Association
General Insurance Public Sector Association
General Insurers private sector Association
CGHS does not cover cost of multifocal lens
True
False
Bima Garage was incorporated on
21st June 2018
19th June 2019
19th June 2018
Currently we operate out of _______no. of cities
8
9
7
5
List down the mandatory fields of Pre- Auth form
KYC/treating doctors letter/ member Id
past medical details
Investigation reports/ tariff details
All of the above
Mandatory documents required to submit to health claim for re-imbursement
Claim form /Discharge Summary/ investigation reports
First consultation receipt
Original Bills
All of the above
