Question

multiple choice question

\\(a(n)\\) ________ is an electronic or paper document that is filed to receive benefits.

• indemnity claim
• healthcare claim
• schedule of benefits
• fee schedule

Explanation:

Analyze the question stem

The question asks for the term that defines "an electronic or paper document that is filed to receive benefits."

Evaluate the options

• indemnity claim: This is a specific type of claim related to indemnity plans, but it is not the general term for any document filed to receive healthcare benefits.
• healthcare claim: This is the general term for a formal request (electronic or paper) submitted by a provider or patient to an insurance company to receive payment or benefits for medical services rendered. This matches the definition perfectly.
• schedule of benefits: This is a list of the medical services covered under a health insurance plan and the amount the plan will pay for each, not a document filed to receive benefits.
• fee schedule: This is a complete listing of fees used by health plans to pay doctors or other providers, not a document filed for benefits.

Apply mastered concepts

Using your understanding of a Healthcare Claim, we know that it serves as the primary administrative document sent to insurance carriers to request reimbursement or payment for healthcare services provided to a patient.

Answer:

• indemnity claim
• healthcare claim (Correct answer)
• schedule of benefits
• fee schedule