Asked by Jessica Garcia on May 12, 2024
Verified
A private or public company that often serves as the middleman between providers and billing groups,payers,and other health care partners for the transmission and translation of electronic claims information into the specific format required by payers is known as:
A) UB-04
B) clearinghouse
C) CMS-1500
D) crossover claim
Clearinghouse
A central agency for the collection, classification, and distribution of information or transactions.
- Acquire knowledge about the process and importance of equating healthcare terms with their definitions.
- Understand the function and significance of electronic data interchange (EDI) within healthcare dealings.
- Understand the functions of third-party payers within the healthcare reimbursement structure.
Verified Answer
AP
Audra PipkinMay 12, 2024
Final Answer :
B
Explanation :
A clearinghouse in the healthcare industry acts as an intermediary that processes and translates claims information from healthcare providers into the specific format required by payers (insurance companies), ensuring that the claims meet the necessary standards and regulations for payment.
Learning Objectives
- Acquire knowledge about the process and importance of equating healthcare terms with their definitions.
- Understand the function and significance of electronic data interchange (EDI) within healthcare dealings.
- Understand the functions of third-party payers within the healthcare reimbursement structure.