Unit 4 Assignment - Clean Claims

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Herzing University *

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200

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Accounting

Date

Apr 3, 2024

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docx

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2

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Due Mar 31 at 11:59pm Points 20 Questions 1 Available until Mar 31 at 11:59pm Time Limit None Allowed Attempts 2 Instructions Instructions Please read the following instructions before starting the assignment The Clean Claims assignment is meant to familiarize you with the CMS1500 . Using the CMS1500, match the correct item to its correct field. Once you have matched all the items to the correct field, click submit, and grading will automatically occur. Attempts: 2 - Canvas will keep the highest of the two scores. Time Limit: None, but it must be completed by the due date/time as stated in the syllabus link. Total Points: 20 Question 1 20 pts Please read the following instructions before starting the assignment Using the CMS1500, match the correct item to its correct field. Once you have matched all the items to the correct field, click submit, and grading will automatically occur. Group of answer choices [ Choose ] 1: Patient’s last appointment date 2: Item: Rendering provider NPC 3: Previous insurance plan information 4: Patient’s out-of-pocket cost 5: Patient’s religious preference 6: Patient’s children’s names 7: Item: Patient’s profession 8: Subscriber’s birth date and gender 9: Patient's name
10: Patient’s relationship to subscriber 11: Whether patient’s condition is related to employment, auto accident, or other accident 12: Subscriber’s policy number 13: Patient’s last three addresses/residences 14: Subscriber’s address (street or P.O. Box, City, Zip Code) 15: Date(s) of service 16: Provider’s discount per service 17: Patient’s highest level of education 18: Provider’s amount collected to date 19: Patient’s date of birth and gender 20: Patient’s address (street or P.O. Box, city, zip) 21: Health Savings Account (HSA) current balance 22: Patient’s driver’s license number 23: Subscriber's/Patient Plan ID number 24: Charge for each listed service 25: HMO or preferred provider carrier name 26: Rendering provider NPI 27: Disclosure of any other health benefit plans 28: List of current medications 29: Patient’s preferred gender identification 30: Subscriber’s name Field 1a - 23 Field 2 - 9 Field 3 - 19 Field 4 - 30 Field 5 - 20 Field 6 - 10 Field 7 - 14 Field 10 - 11 Field 11 - 12 Field 11a - 8 Field 11c - 25 Field 11d - 27 Field 24A - 15 Field 24F - 24 Field 24J - 26
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