Exam (elaborations)
NHA CMAA Practice Exam
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NHA CMAA Practice Exam NHA CMAA Practice Exam NHA CMAA Practice Exam
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NHA CMAA Practice Exam milyadjuster - ANS A person who represents either party of an insurance claim is the:
A. doctor
B. adjuster
C. provider
D. subscriber
claim - ANS A request for payment under an insurance contractor bond is called a(n):
A. insurance application
B. claim
C. dual choice request
D. total disability
premium - ANS Payment made periodically to keep an insurance policy in force is called:
A. time limit
B. premium
C. coinsurance
D. fee for service
provider - ANS A person or institution that gives medical care is a(n):
A. third-party payer
B. provider
C. adjuster
D. insurance agent
,indemnities - ANS Benefits that are made in the form of cash payments are known as:
A. indemnities
B. deductibles
C. medical co-pays
D. cash advances
deductible - ANS An amount the insured must pay before policy benefits begin is called:
A. indemnity
B. extended benefits
C. deductible
D. catastrophic
health maintenance organization - ANS An organization that offers health insurance at a fixed monthly
premium with little or no deductible and works through a primary care provider is called a(n):
A. preferred provider
B. health maintenance organization
C. member physician
D. private health provider
outpatient - ANS A patient receiving ambulatory care at a hospital or other health facility without being
admitted a bed patient is called a(n):
A. inpatient
B. outpatient
C. carrier
D. adjuster
, partial disability - ANS An injury that prevents a worker from performing one or more of the regular
functions of his job would be known as a :
A. partial disability
B. permanent disability
C. total disability
D. resultant disability
subscriber - ANS One who belongs to a group insurance plan is called:
A. third-party payer
B. subscriber
C. carrier
D. no correct answer
benefits - ANS A sum of money provided in an insurance policy, payable for covered services is called:
A. deductible
B. benefits
C. dues payable
D. premium
coordination of benefits - ANS To prevent the insured from receiving a duplicate payment for losses
under more than one insurance policy is called:
A. fee-for-service
B. hospital benefits
C. coordination of benefits
D. non duplication benefits
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