The Source Document for Completing the Actual Insurance Claim Form

question 41

Multiple Choice

The source document for completing the actual insurance claim form is the

• A) medical record.
• B) CMS-1500.
• C) UB-04.
• D) encounter form.

---

Definitions:

Dreamlike Scenes

Imagery or scenarios that are surreal and reminiscent of sequences experienced during dreams.

Depressant

A substance that slows down the central nervous system, reducing arousal and stimulation in the body.

Alcohol

A psychoactive substance commonly found in beverages like beer, wine, and spirits, known for its effects on the nervous system.

Methamphetamine

Methamphetamine is a powerful, highly addictive stimulant that affects the central nervous system, known for its use both as a recreational drug and, less commonly, for its therapeutic use in certain medical conditions.