Question

A ____ is a professional who prepares bills for the insurance company. A ____ will receive prepared bills and works for the insurance company. The insurance company will send _____ to help a patient understand insurance coverage.

a) Medical examiner, Medical claimer, A bill summary
b) Medical biller, Medical claim examiner, An explanation of benefits
c) Billing specialist, Claims analyst, A coverage report
d) Insurance coder, Bill processor, Policy details

Answer 1

The correct fill-in-the-blank responses are 'medical biller,' 'medical claim examiner,' and 'an explanation of benefits,' which relate to how professionals manage and communicate insurance billing and claims processes.

Step-by-step explanation:

The correct answer to the student's question is: A medical biller is a professional who prepares bills for the insurance company. A medical claim examiner will receive prepared bills and works for the insurance company. The insurance company will send an explanation of benefits to help a patient understand insurance coverage.

Insurance terms such as deductible, fee-for-service, and health maintenance organization (HMO) play significant roles in how billing and claims are handled. A deductible is an amount that insurance policyholders must pay before the insurance coverage contributes to the costs. In a fee-for-service arrangement, medical care providers are compensated for each service they perform, while HMO plans pay providers a fixed amount per enrolled individual, irrespective of the number of services provided.