WebEx Load Insurance Secondary To Medicare

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Quizzes Created: 5 | Total Attempts: 557
Questions: 6 | Attempts: 102

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WebEx Load Insurance Secondary To Medicare - Quiz


Questions and Answers
  • 1. 

    The following information must be identified before coverage can be loaded: Check all that apply

    • A.

      The subscriber of the patient's insurance

    • B.

      The guarantor of the account

    • C.

      The carrier name and number

    • D.

      The expiration date of the insurance coverage

    • E.

      The effective date of the insurance coverage

    • F.

      Additional action based on the carrier

    Correct Answer(s)
    A. The subscriber of the patient's insurance
    C. The carrier name and number
    E. The effective date of the insurance coverage
    F. Additional action based on the carrier
    Explanation
    Before coverage can be loaded, the following information must be identified: the subscriber of the patient's insurance, the carrier name and number, the effective date of the insurance coverage, and any additional action based on the carrier. These pieces of information are necessary to ensure that the patient's insurance coverage is accurately recorded and that any necessary actions can be taken based on the carrier's requirements. The guarantor of the account and the expiration date of the insurance coverage are not specifically mentioned as requirements for loading coverage.

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  • 2. 

    If the subscriber of the patient's insurance is not in the system, load the guarantor of the account as the subscriber.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    If the subscriber of the patient's insurance is not in the system, the guarantor of the account is not loaded as the subscriber. Therefore, the correct answer is false.

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  • 3. 

    How should the Type of policy field be completed for a commercial carrier loaded secondary to Medicare?

    • A.

      Group policy

    • B.

      Supplemental policy

    • C.

      Commercial policy

    • D.

      None of these

    Correct Answer
    B. Supplemental policy
    Explanation
    The Type of policy field should be completed as "Supplemental policy" for a commercial carrier loaded secondary to Medicare. This is because a supplemental policy is an additional insurance policy that provides coverage for expenses not covered by Medicare. In this case, the commercial carrier is providing supplementary coverage to fill in the gaps left by Medicare.

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  • 4. 

    How should the Filing status be completed when loading a crossover policy secondary to Medicare?

    • A.

      Automatic

    • B.

      Manual

    • C.

      Other Cov COB

    Correct Answer
    C. Other Cov COB
    Explanation
    When loading a crossover policy secondary to Medicare, the Filing status should be completed as "Other Cov COB". This means that the policy is being filed as coordination of benefits with another insurance coverage. This indicates that the policy is not the primary insurance and is being used to supplement or provide additional coverage after Medicare has made its payment.

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  • 5. 

    The following options can be loaded as the Relationship to Medicare for secondary coverage: Check all that apply

    • A.

      Supplemental for commercial carriers and Tricare

    • B.

      Supplemental for Medicaid

    • C.

      Medigap for Medigap policies

    • D.

      None

    Correct Answer(s)
    A. Supplemental for commercial carriers and Tricare
    B. Supplemental for Medicaid
    C. Medigap for Medigap policies
    Explanation
    The correct answer options for the question are "Supplemental for commercial carriers and Tricare", "Supplemental for Medicaid", and "Medigap for Medigap policies". These options indicate the types of secondary coverage that can be loaded as the relationship to Medicare. "Supplemental for commercial carriers and Tricare" refers to additional coverage provided by private insurance companies or Tricare for military personnel and their families. "Supplemental for Medicaid" indicates secondary coverage for individuals who have both Medicare and Medicaid. "Medigap for Medigap policies" refers to supplementary insurance plans specifically designed to cover the gaps in Medicare coverage.

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  • 6. 

    All questions regarding loading a commercial carrier secondary to Medicare can be directed to MedPro Knowledge Management.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    This statement suggests that if there are any questions about loading a commercial carrier secondary to Medicare, they should be directed to MedPro Knowledge Management. Therefore, the correct answer is "True" as it confirms that MedPro Knowledge Management is the appropriate source for inquiries regarding this matter.

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  • Current Version
  • Feb 23, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • May 18, 2012
    Quiz Created by
    Training11
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