A Child Comes Home from School and Is Hungry $\mathrm{S}^{ \Delta }$

question 566

Multiple Choice

A child comes home from school and is hungry.The parent tells the child that there are fresh cookies in the cupboard, and the child can have one.This instruction from the parent is an example of a(n) :

• A)CMAO
• B) \(\mathrm{S}^{ \Delta }\)
• C)CMEO
• D)S^D

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Definitions:

Approved Charges

The amounts pre-determined by insurance providers as the maximum they will pay for a covered service or procedure.

X12 837

A standard format for electronically transmitting healthcare claim information from healthcare providers to payers, such as insurance companies.

Electronic Claim

A request for payment for healthcare services that is submitted electronically to a health insurance provider.

Coordination of Benefits

A legal principle that limits payment by insurance companies to 100% of the cost of covered expenses.