NHA CMAA Practice Exam #35
adjuster 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 req...
nha cmaa practice exam 35 adjuster 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 insur
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NHA CMAA Practice Exam #35
adjuster 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
coinsurance Ans-When a patient has health insurance, the percentage of covered services that is the
responsibility of the patient to pay is known as:
A. coinsurance
B. pre-defined policy
C. comprehensive
D. in percent policy
intervening cause Ans-A defense against malpractice may include acts of independent agents that stand
in the way of the causal connection between the negligent act and the damage suffered. This is called
A. comparative negligence
B. tolling of the statute of limitations
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