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Exam 1: Health Insurance Specialist Career

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Question 21

Multiple Choice

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Which guarantees repayment for financial losses resulting from an employee's act or failure to act?

A) bonding insurance
B) liability insurance
C) property insurance
D) workers' compensation insurance

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Question 22

Multiple Choice

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If the insurance plan has a hold harmless clause, it means that the patient is

A) charged for fees by the health care provider, per the EOB.
B) automatically has lower out-of-pocket health care expenses.
C) not responsible for paying what the insurance plan denies.
D) required to pay any amounts that the insurance plan denies.

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Question 23

Multiple Choice

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Which organization offers the CMBS exam?

Which is an insurance agreement that protects business contents against fire, theft, and other risks?

A claims examiner employed by a third-party payer reviews health-related claims to determine whether the charges are reasonable, in addition to

Which involves linking every procedure or service code reported on the claim to a condition code that justifies the necessity of performing that procedure or service?

The CPT manual is published by the

Which does a provider usually employ to perform administrative and clinical tasks, which help keep the office or clinic running smoothly?

Which type of insurance covers employees and their dependents against injury and death that occurs during the course of employment?

When a health insurance plan's preauthorization requirements are not met by providers,