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book Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby cover

Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby

Edition 7ISBN: 978-1259683077
book Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby cover

Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby

Edition 7ISBN: 978-1259683077
Exercise 18
1. A retiree is covered by his wife's insurance policy. His wife is still working and receives health benefits through her employer, which has a PPO plan.
A. What code describes the spouse's relationship to the subscriber?
B. What claim filing indicator code is reported?
C. What claim filing indicator code is likely to be used if the insurance is TRICARE?
2. What type of code would show whether a claim is the original claim, a replacement, or being cancelled?
3. What is the purpose of a claim control number? Of a line item control number?
Explanation
Verified
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1. A. 01
B. 12
C. CH
2. Claim frequency ...

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Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby
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