Examlex
Reason and remark codes are explained on the face or back of the EOB/ERA.
Grand Mal Seizure
A type of seizure characterized by violent muscle contractions and loss of consciousness, often associated with epilepsy.
Seizure Disorder
A condition characterized by the occurrence of seizures, affecting the brain's electrical activity.
Shopping Mall
A large indoor complex containing a variety of stores, restaurants, and other business establishments in one space.
Hospice Care
Specialized care designed to provide support and comfort to patients in the last phase of a terminal illness, focusing on pain management and quality of life.
Q23: In a managed care organization (MCO), a
Q59: Medical necessity reduction by an insurance carrier
Q66: Utilization guidelines are used to:<br>A) determine if
Q68: The HMO Act of 1973 used federal
Q87: The Consolidated Omnibus Budget Reconciliation Act of
Q97: A(n) _ model health maintenance organization (HMO)
Q99: Benefit plans NOT covered by ERISA include:<br>A)
Q101: The amount a covered person is required
Q101: To strengthen an appeal, court rulings can
Q105: When a provider agrees to receive payment