A document sent by the insurance company to the provider and the patient explaining the allowed charge amount, the amount reimbursed for services, and the patient’s financial respo... A document sent by the insurance company to the provider and the patient explaining the allowed charge amount, the amount reimbursed for services, and the patient’s financial responsibilities. Government insurance plan for those with low income. A system used to determine how much providers should be paid for services provided; used by Medicare and many other health insurance companies.
Understand the Problem
The question is asking for specific terms related to health insurance concepts, such as documents sent by insurance companies, government insurance plans, and systems for determining payments to providers.
Answer
8. Explanation of Benefits, 9. Medicaid, 10. Resource-Based Relative Value Scale
The answers are: 8 - Explanation of Benefits, 9 - Medicaid, 10 - Resource-Based Relative Value Scale.
Answer for screen readers
The answers are: 8 - Explanation of Benefits, 9 - Medicaid, 10 - Resource-Based Relative Value Scale.
More Information
The Explanation of Benefits (EOB) is a document detailing financial responsibilities between insurance, provider, and patient. Medicaid is a government insurance program for low-income individuals. The Resource-Based Relative Value Scale (RBRVS) determines payment for services by providers.
Tips
Ensure you understand the purpose of each health insurance document and terminology.
Sources
- How to read an explanation of benefits (EOB) - CMS - cms.gov
- Health Insurance Terms - CDPHP - cdphp.com
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