Adjustor - Study guides, Class notes & Summaries

2022 Texas Adjuster Study Guide 367 QUESTIONS ANSWERS ALL CORRECT 1 / 31 1. PERILS: A CAUSE OF PROPERTY LOSSES UNDER AN INSURANCE CON- TRACT EX: WINDSTORM, HURRICANE, EXPLOSION, COLLAPSE OF BUILD- ING, VANDALISM, ACCIDENTAL DISCHARGE, AND THEFT 2. LAW OF LARGE NUMBERS: A FUNDAMENTAL CONCEPT IN STATISTICS AND PROBABILITY THAT DESCRIBES HOW THE AVERAGE OF A RANDOM- LY SELECTED LARGE SAMPLE FROM A POPULATION. IT BASICALLY RE- LIES ON THE PRINCIPLE THAT THE LARGER THE POOL, THE MORE PRE- DICTABL...

CHAA Terms Latest Update 100% Correct Accepting Assignment When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance payment and the provider's normal fee. Access The patient's ability to obtain medical care. The ease of access is determined by such components as the availability to the patient, the location of health care facilities. transportation, hours of operation and cost of care. Account Numb...

CHAM LATEST VERSION (2024/2025) RATED A+ Accepting Assignment When a provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the insurance payment and the provider's normal fee. Access The patient's ability to obtain medical care. The ease is determined by such components as the availability of medical services and their acceptability to the patient, the location of health-care facilities, transportation, hours of operat...

Which of the following is a primary duty of an EHR specialist as the health care industry implements EHR requirements? - Providing ongoing training of EHR software An insurance adjustor requests a patient's progress notes following a motor vehicle crash. Which of the following should guide the EHR specialist in releasing this information? - minimum necessary Which of the following is a feature of clinical decision support? - allows patient care to be tailored to published guidelines A pat...

Reg 73 letter states: Insurer must respond with in 10 days Insurance Commissioner Inquires ICI respond within 15 days After proof of loss Insurer has 15 days to pay or deny coverage letter must be sent if there is some sort of denial An adjuster license can be revoked, by who? Insurance comissioner Unfair Claims Practices Act an adjustor must throughly investigate a loss prior to settlement

2022 Texas Adjuster Study Guide 367 QUESTIONS ANSWERS ALL CORRECT 1 / 31 1. PERILS: A CAUSE OF PROPERTY LOSSES UNDER AN INSURANCE CON- TRACT EX: WINDSTORM, HURRICANE, EXPLOSION, COLLAPSE OF BUILD- ING, VANDALISM, ACCIDENTAL DISCHARGE, AND THEFT 2. LAW OF LARGE NUMBERS: A FUNDAMENTAL CONCEPT IN STATISTICS AND PROBABILITY THAT DESCRIBES HOW THE AVERAGE OF A RANDOM- LY SELECTED LARGE SAMPLE FROM A POPULATION. IT BASICALLY RE- LIES ON THE PRINCIPLE THAT THE LARGER THE POOL, THE MORE PRE- DICTABL...

Which of the following is a primary duty of an EHR specialist as the health care industry implements EHR requirements? - Answer-Providing ongoing training of EHR software An insurance adjustor requests a patient's progress notes following a motor vehicle crash. Which of the following should guide the EHR specialist in releasing this information? - Answer-minimum necessary Which of the following is a feature of clinical decision support? - Answer-allows patient care to be tailored to publi...

REAL Texas Adjuster Study Guide2023- 2024/ 367 QUESTIONS AND ANSWERS 1. perils: a cause of property losses under an insurance con- tract ex: windstorm, hurricane, explosion, collapse of build- ing, vandalism, accidental discharge, and theft 2. law of large numbers: a fundamental concept in statistics and probability that describes how the average of a random- ly selected large sample from a population. it basically re- lies on the principle that the larger the pool, the more pre- dictable ...

An insurance adjustor requests a patient's progress notes following a motor vehicle crash. Which of the following should guide the EHR specialist in releasing this information? A. meaningful use B. continuity of care C. assignment of benefits D. minimum necessity - D. minimum necessity Which of the following is a feature of clinical decision support? A. allows patients access to educational material B. allows patient care to be tailored to published guidelines C. allows for electronic ...

CHAA Certification Exam 2023