Asked by Hunter Patterson on Apr 26, 2024
Verified
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
A) bartered goods
B) claim form
C) third-party reimbursers
D) CMS-1500
E) CMS-1450
F) Explanation of Benefits (EOB) form
G) Standard Electronic Data Interchange (EDI) Enrollment form
H) Remittance Advice form
I) manual insurance log
J) signature on file
K) assignment of benefits clause
L) Electronic Data Interchange (EDI) transactions
M) Administrative Simplification Compliance Act (ASCA)
N) clearinghouse
O) Electronic Claims Tracking (ECT) systems
P) credit column
Q) secondary insurance
Clearinghouse
An intermediary entity that facilitates the exchange of financial, medical, or other types of information and transactions between two parties.
Electronic Claims Information
Refers to the digital submission and processing of insurance claims, facilitating faster and more efficient healthcare billing.
- Garner an understanding of the methodology and importance of aligning medical terms with their respective definitions.
- Recognize the role and functionality of electronic data interchange (EDI) in healthcare transactions.
- Comprehend the roles of third-party reimbursers in the healthcare payment system.
Verified Answer
MD
Maria DimitrovskaApr 28, 2024
Final Answer :
N
Explanation :
A clearinghouse in the context of healthcare acts as an intermediary between healthcare providers and insurance payers, handling the conversion and transmission of electronic claims information to meet the specific format requirements of the payers.
Learning Objectives
- Garner an understanding of the methodology and importance of aligning medical terms with their respective definitions.
- Recognize the role and functionality of electronic data interchange (EDI) in healthcare transactions.
- Comprehend the roles of third-party reimbursers in the healthcare payment system.
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