22. How many business day it take for the insurance company to process an electronic insurance...
22. How many business day it take for the insurance company to
process an electronic insurance claim and how many days should you
allow?
23. If no further response is insurance company about the claim after a month, what should the medical biller do?
24. To confirm that the claim was received, what should the medical biller provide to the insurance carrier?
25. Describe the information provided in the explanation of benefits (EOB).
26. When reviewing an EOB , what are two things that need to be verifed?
27. What is the equation used to calcuate the patient's responsibily as determined by the primary insurance EOB?
Homework Answers
22. How many business day it take for the insurance company to process an electronic insurance claim and how many days should you allow?
Answer:-
10-14 days business day it take for the insurance company to process an electronic insurance claim and allow up to 30 days.
Add Answer to:
22. How many business day it take for the insurance company to
process an electronic insurance...
guidelines. Medical Llp tile commission's contact information in the office medical billing manual as a reference...
guidelines. Medical Llp tile commission's contact information in the office medical billing manual as a reference in case a claim should be reported. CRITICAL THINKING APPLICATION 17-5 Ann is reviewing an encounter form for a CT scan of the knee. The patient is covered under an HMO plan, which requires preauthorization before the test is scheduled. Ann cannot find the preauthorization. She visits the online provider Web portal and finds out that no preauthorization was obtained. What can be done...
Lisa Warren is a newly hired health insurance specialist at a small medical practice, and she...
Lisa Warren is a newly hired health insurance specialist at a small medical practice, and she is responsible for completing and submitting CMS-1500 claims. Toward the end of her second day on the job, she is asked to take a phone call from a patient who has questions about his submitted claim. The patient tells Lisa that he just received an explanation of benefits (EOB) from his third-party payer, and it makes no sense because the bottom part of the...
Assignment of Benefits versus Accept Assignment
Lisa Warren is a newly hired health insurance specialist at a small medical practice, and she is responsible for completing and submitting CMS-1500 claims. Toward the end of her second day on the job, she is asked to take a phone call from a patient who has questions about his submitted claim.The patient tells Lisa that he just received an explanation of benefits (EOB) from his third-party payer, and it makes no sense because the bottom part of the form...
chapter 7 review policyholder must spend on medical services before benefits begin. ype of managed care...
chapter 7 review policyholder must spend on medical services before benefits begin. ype of managed care system in which providers are paid fixed rates at regular Intervals. ims with all the correct information necessary for payer processing. L The mandated paper insurance claim form. n. Healthca re clai o. Healthcare services that are reasonable, necessary, and/or appropriate evidence-based clinical standards of care CHECKING YOUR UNDERSTANDING 16. ILO 7.SI A claim needs to you select only be submitted for John Fitzwilliams....
Scenario: Disability Insurance Claims Handling at InsureIT We consider the following business pro...
Scenario: Disability Insurance Claims Handling at InsureIT We consider the following business process for handling insurance claims for disability insurance[1] at an insurance company InsureIT. The process starts when a customer lodges a disability claim. To do so, the customer fills in a form including a 2-page questionnaire describing the disability. The customer can submit the form physically at one of the branches of InsureIT, by postal mail, fax or simply via e-mail (digitally-signed document). When a claim is received,...
Vinton Auto Insurance is trying to decide how much money to keep in liquid assets to cover insurance claims. In the past, the company held some of the premiums it received in interest-bearing checking...
Vinton Auto Insurance is trying to decide how much money to keep in liquid assets to cover insurance claims. In the past, the company held some of the premiums it received in interest-bearing checking accounts and put the rest into investments that are not quite as liquid but tend to generate a higher investment return. The company wants to study cash flows to determine how much money it should keep in liquid assets to pay claims. After reviewing historical data,...
Aflac Insurance Company InformatIon: Aflac is a Fortune 500 insurance company founded in 1955 by three...
Aflac Insurance Company InformatIon: Aflac is a Fortune 500 insurance company founded in 1955 by three brothers, John, Paul and Bill Amos. Today, Aflac employs more than 4,500 people and has more than 71,000 licensed independent agents throughout the United States and Japan. The following is an excerpt from the New York Stock Exchange business summary. “Aflac Incorporated is a general business holding company and acts as a management company, overseeing the operations of its subsidiaries by providing management services...
ELECTRONIC TIMING, INC. Electronic Timing, Inc. (ETI), is a small company founded 15 years ago by...
ELECTRONIC TIMING, INC. Electronic Timing, Inc. (ETI), is a small company founded 15 years ago by electronics engineers Tom Miller and Jessica Kerr. ETI manufactures integrated circuits to capitalize on the complex mixed-signal design technology and has recently entered the market for frequency timing generators, or silicon timing devices, which provide the timing signals or "clocks” necessary to synchronize electronic systems. Its clock products originally were used in PC video graphics applications, but the market has subsequently expanded to include...
Electronic Timing Inc (ETI) is a small company founded 15 years ago by electronic engineers Tom Miller and Jessica Kerr
Electronic Timing Inc (ETI) is a small company founded 15 years ago by electronic engineers Tom Miller and Jessica Kerr. EIT manufactures integrated circuits to capitalize on the complex nixed-signal design technology and has recently entered the market for frequency timing generators, or silicon timing devices, which provide the timing signals or “clocks” necessary to synchronize electronic systems. Its clock products originally were used in PC video graphics applications, but the market subsequently expanded to include motherboards, PC peripheral devices,...
Assume you are asked as part of an audit of GE's insurance business to assess fraud...
Assume you are asked as part of an audit of GE's insurance
business to assess fraud risk, ehat would you include in your
report and why?
Required information [The following information applies to the questions displayed below.) On January 30, 2018, General Electric (GE) announced that it was taking an after-tax charge of $6.2 billion in the December 31, 2017 financial statements and additional cash funding of $15 billion in statutory capital contributions to its insurance subsidiary. GE acknowledged a...
guidelines. Medical Llp tile commission's contact information in the office medical billing manual as a reference in case a claim should be reported. CRITICAL THINKING APPLICATION 17-5 Ann is reviewing an encounter form for a CT scan of the knee. The patient is covered under an HMO plan, which requires preauthorization before the test is scheduled. Ann cannot find the preauthorization. She visits the online provider Web portal and finds out that no preauthorization was obtained. What can be done...
chapter 7 review policyholder must spend on medical services before benefits begin. ype of managed care system in which providers are paid fixed rates at regular Intervals. ims with all the correct information necessary for payer processing. L The mandated paper insurance claim form. n. Healthca re clai o. Healthcare services that are reasonable, necessary, and/or appropriate evidence-based clinical standards of care CHECKING YOUR UNDERSTANDING 16. ILO 7.SI A claim needs to you select only be submitted for John Fitzwilliams....
ELECTRONIC TIMING, INC. Electronic Timing, Inc. (ETI), is a small company founded 15 years ago by electronics engineers Tom Miller and Jessica Kerr. ETI manufactures integrated circuits to capitalize on the complex mixed-signal design technology and has recently entered the market for frequency timing generators, or silicon timing devices, which provide the timing signals or "clocks” necessary to synchronize electronic systems. Its clock products originally were used in PC video graphics applications, but the market has subsequently expanded to include...
Assume you are asked as part of an audit of GE's insurance
business to assess fraud risk, ehat would you include in your
report and why?
Required information [The following information applies to the questions displayed below.) On January 30, 2018, General Electric (GE) announced that it was taking an after-tax charge of $6.2 billion in the December 31, 2017 financial statements and additional cash funding of $15 billion in statutory capital contributions to its insurance subsidiary. GE acknowledged a...
Most questions answered within 3 hours.
-
Why PWM using H-bridge for control motor speed is more power
effiecient than the linear amplifier...
asked 44 seconds from now -
In 1999, Carly Fiorina famously said,"I hope that we are at a
point that everyone is...
asked 2 minutes ago -
Individuals in a species of moth vary in wing color from white to
black, but all...
asked 14 minutes ago -
The following standards for variable manufacturing overhead have
been established for a company that makes only...
asked 26 minutes ago -
The United States government wanted to determine what proportion
of Americans approve of the current president,...
asked 41 minutes ago -
2-N stone is dropped from the top of a cliff. The stone hits the
ground 3...
asked 41 minutes ago -
Vitamins participate in metabolic reactions in their coenzyme
forms . Match the following reactions to the respective...
asked 43 minutes ago -
We have developed a new mobile device and wish to gain insight
into the price that...
asked 1 hour ago -
12.8 ml of a solution is run into an empty flask, from a buret.
The mass...
asked 58 minutes ago -
Using java:
Use the following starter code:
public class HandsOn01 {
public //// insert your code...
asked 56 minutes ago -
Two speakers are placed along a wall 3 m apart. They are in
phase and emitting...
asked 1 hour ago -
Determine the magnitude of the complex number z = 3 – j * 4
using the...
asked 1 hour ago