Question

multiple choice question

patients with no insurance coverage who are responsible for paying their medical bills are identified as ______ patients.

ineligible
self-pay
self referred
nonpar

Explanation:

Analyze the question stem

Using the Patient Financial Responsibility knowledge point

The question asks for the term used to identify patients who do not have health insurance coverage and are personally responsible for paying the full balance of their medical bills.

Evaluate the options

• ineligible: Refers to a patient who does not meet the criteria for coverage under a specific insurance plan.
• self-pay: Refers to a patient who pays out-of-pocket for medical services because they either do not have insurance or choose not to use it.
• self referred: Refers to a patient who schedules an appointment with a specialist without a referral from a primary care physician.
• nonPAR: Short for nonparticipating provider, which is a healthcare provider who does not have an agreement with a specific insurance plan.

Answer:

• ineligible
• self-pay (Correct answer)
• self referred
• nonPAR