Medical Administrative Assistant Module 7 Quiz (20 Questions)

What term refers to healthcare providers, including doctors and hospitals, typically carrying insurance to protect against liability claims related to medical errors or negligence?

What insurance type provides income replacement in the event an employee is unable to work due to a covered disability?

What type of insurance covers eye-related expenses, including eye exams, eyeglasses, and contact lenses?

What type of insurance covers a portion of the cost of dental care, including routine check-ups and more extensive procedures like fillings and extractions?

What joint federal and state program provides health coverage to low-income individuals and families?

What federal health insurance program is for individuals aged 65 and older and certain younger people with disabilities?

What is the process by which an insurance company evaluates an applicant’s risk profile to determine coverage eligibility and premium rates?

Who is the person covered by an insurance policy, often the patient?

What term refers to healthcare providers or facilities that do not have a contract with a particular insurance plan, potentially leading to higher out-of-pocket costs for the insured person?

What term refers to healthcare providers or facilities that have contracted with a specific insurance plan, often resulting in lower costs for the insured individual?

What is the process of obtaining approval from an insurance company before certain medical services or procedures are performed?

What is a statement from the insurance company that explains how a claim was processed, detailing what was paid, denied, or is the patient’s responsibility?

What is a formal request for payment submitted to an insurance company by a healthcare provider on behalf of a patient?

What is a healthcare professional or facility that offers medical services, such as doctors, hospitals, and clinics?

What term refers to a group of healthcare providers, hospitals, and facilities that have contracted with an insurance company to provide services at negotiated rates?

What is the maximum amount a patient is required to pay during a policy period, after which the insurance covers 100% of covered expenses?

What is the percentage of healthcare costs that a patient is responsible for after meeting their deductible?

What is a fixed amount that a patient pays for specific medical services, often due at the time of the visit?

What is the term for the amount an insured person must pay out of pocket before their insurance plan starts covering costs?

What is the term for the amount paid by an individual or their employer to an insurance company to maintain coverage?