QUESTION IMAGE
Question
which is a notice that is sent by the insurance company to a provider that contains payment information about a claim?
○ a. cms update
○ b. claims submission
○ c. explanation of benefits
○ d. remittance advice
Brief Explanations
- A CMS update is related to changes in the Centers for Medicare & Medicaid Services' regulations or systems, not payment information about a claim.
- Claims submission is the process of sending a claim to the insurance company, not a notice sent by the insurance company with payment info.
- Explanation of benefits (EOB) details what services were covered, allowed amounts, and patient responsibility, but remittance advice specifically contains payment information.
- Remittance advice is a notice from the insurance company to the provider that details how a claim was paid, including payment amounts, adjustments, etc.
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d. remittance advice