What form should be completed by the Medicare Patient prior to a Physician providing a service that is not covered by Medicare?

TRUE OR FALSE: The National Provider Identifier (NPI) is a unique 10-digit number issued to individual providers and health care organizations

When BLOCK 10a, 10b, or 10c (employment, auto, other accident) is checked “YES”, what does the Payer do?

Which form is considered the financial source document?

Wild and crazy Wanda’s health insurance policy number (found on Wanda’s health insurance ID card) reflects: 39-03-9999-SUB; When entering Wanda’s policy number on the claim, it should look like:

Medigap:

Providers can bill BCBS up to a ____ window from the date services were rendered

TRUE or FALSE: When a claim is in a “pended” status, the provider must submit a formal appeal in an attempt to get the claim paid

TRUE or FALSE: There are certain, special circumstances that make a person eligible for Medicare BEFORE they are 65 years of age

The patient receives an annual well check-up. The physician charges 80- fee schedule. The Payer reimburses the physician at 90% of the $80- fee schedule. What does the patient owe the physician?