NURSING EXAM QUESTIONS
HEALTH INFORMATICS
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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a detailed account of each claim processed by an insurance plan, which is sent to the claim payment or denial
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Explanation of benefits (EOB)
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claims process
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medical record
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triage
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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.
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