Question

KEY TERMS to hog ho MATCHING Match the definition with the correct term from the following word list. A. administrative code set B. billing provider C. carrier block D. claim attachment E claim control number claim filing indicator code G. claim frequency code (claim submission eason code) H. claim soruhter I clean claims Q. HIPAA XI2 837 Healh Care Claim Professional (R37P) R. line item conl nember S. National Uniform Claim Committee (NUCC) T. other ID nunber U. ostside lahoratory -e provider V. pay- w. place of service (POS) code X. primary provider idemtifier 1. CMS-I500 claim K condition code L data elements M. destination payer N. SO10 version O. HIPAA X12 276/277 Health Care Claim Status Inquiry/Response P. individual relationship code Y alifer 3. Y. Z referring provider AA. rendering provider BB. reguired ddata element responsible party DD. service line information EE. situational data element FF. subscriher GG. tuxonomy code K. b seli niu wd on 1. As of 2012, the format EDI transactions must use 2. The organization or person transmitting the claim to the payer, usually a billing service or clearinghouse 3. A 20-character identifier assigned by the sender that is unique for each claim 4NT JAOITIRO 4. An editing software program that makes sure that all required fields are filled and that only valid codes are used, and performs other checks adi no 5. The organization that determines the content of both paper and electronic claims 6. Those claims, without errors, that are accepted for adjudication by payersis lald & 1. A code required to specify the patient's relationship to the subscriber when the patient and the subscriber are not the same person (1) 8. A ten-digit number that stands for a physician's medical specialty eseoorb tteg ar Stiborami 9. Alternate term for insured/guarantor/policyholder 10. Receives the payment from the insurance carrier 11. A paper claim form containing a possible 33 boxes of information about the patient and/or insured, provider, and services provided ob woH 12. The physician who provides the patient's treatment 13. An entity or person other than the subscriber or patient who has financial responsibility for the bill Oapter

Answer 1

Answer:

1. N. 5010 version

2. B. Billing  provider

3.E. Claim control number

4. H. Claim scrubber

5.D. Claim attachment

6.I. Clean claim

7.P. Individual relationship code

8.GG. Taxonomy code

9.FF. Subscriber

10. M. Designation payer

11.J. CMS- 1500 claim

12. AA. Rendering provider

13. CC. Responsible party