Examlex
When weighing a decision,Kate places greater emphasis on opinions that match her own than she does on opinions offered by others that disagree with her personal point of view.Kate illustrates which one of the following?
Explanation of Benefits (EOB)
A printed description of the benefits provided by the insurer to the beneficiary; provides information to the patient about how an insurance claim from a health provider (such as a physician or hospital) was paid on his or her behalf.
Not Allowed Amount
The portion of a bill or charge that is not covered by insurance and is not the responsibility of the patient or client.
Coinsurance Co-payment Amount
The fixed percentage or amount that an insured person is responsible for paying for medical services, after the deductible is met.
CMS-1500 Form
The standard claim form designed by the Centers for Medicare and Medicaid Services to submit physician services for third-party (insurance companies) payment; the standard paper claim form to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed.
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