NURSING ANM AND GNM

NURSING EXAM QUESTIONS

HEALTH INFORMATICS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
a detailed account of each claim processed by an insurance plan, which is sent to the claim payment or denial
A
Explanation of benefits (EOB)
B
claims process
C
medical record
D
triage
Explanation: 

Detailed explanation-1: -An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. The EOB is commonly attached to a check or statement of electronic payment.

Detailed explanation-2: -The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.

There is 1 question to complete.