With Electronic Claims, a Crossover Claim Is

question 3

Multiple Choice

With electronic claims, a crossover claim is

• A) a claim where benefits "cross-over" to another health plan.
• B) sent electronically to more than one health plan before it is sent back to the provider.
• C) not possible since it must be sent to more than one health plan.
• D) returned to the provider after each health plan reviews the claim.

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Definitions:

Standardizing Educational

The process of creating uniformity and consistency in educational practices, curricula, and assessments across different teaching and learning environments.

Continuing Education Requirements

Ongoing learning processes that professionals must engage in to maintain certifications, licenses, and stay up-to-date with their field.

Co-payment

A fixed amount paid by a healthcare insurance policyholder for services, such as a visit to the doctor or prescription drugs, with the rest covered by the insurance company.

Insurance Premium

The amount of money that an individual or business must pay for an insurance policy, typically charged monthly or annually.