The primary objective of a health insurance professional is to:
A) verify the patient's personal information.
B) correctly complete a CMS-1500 (08-05) for every patient.
C) ascertain that the medical record is complete and correct.
D) submit "clean" claims.

Question

Quizplus · Accepted Answer

The primary objective of a health insurance professional is to submit "clean" claims, meaning claims that are complete and accurate, without errors or missing information. While verifying patient information and ensuring the completeness and accuracy of medical records are important tasks, the ultimate goal is to submit claims that will be processed and paid correctly by insurance companies. Completing a CMS-1500 form is also important, but it is just one aspect of the overall goal of submitting clean claims.

The Primary Objective of a Health Insurance Professional Is To