The first step in filing a claim with a third-party is: What can a PAR provider bill the patient for? After the deductible has been met the policyholder is responsible for a certai... The first step in filing a claim with a third-party is: What can a PAR provider bill the patient for? After the deductible has been met the policyholder is responsible for a certain percentage of the bill is the definition of:
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Understand the Problem
The questions are assessing knowledge related to medical billing and insurance practices, focusing on claim filing processes and responsibilities of providers and patients.
Answer
1. d 2. b 3. c
The final answer is:
- d. obtain accurate billing information from the patient
- b. False
- c. co-insurance
Answer for screen readers
The final answer is:
- d. obtain accurate billing information from the patient
- b. False
- c. co-insurance
More Information
Accurate billing information is critical for processing claims. A PAR provider cannot bill for amounts above the insurance allowance. Coinsurance is the percentage paid after deductible requirements are met.
Tips
Make sure to verify the terms in your policy, as coinsurance terms may vary.
Sources
- COB TPL Training and Handbook - Medicaid - medicaid.gov
- Understanding Cost Sharing: Deductibles, Copayments ... - healthychildren.org
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