Scenario Based Quiz - Claim paid to patient

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1. What is the correct reason for the claim paid to the patient? AOB is not signed by the patient
The provider is out-of-network and the patient's plan does not cover out-of-network benefit
Both of the above
None of the above
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2. If the claim is paid to the patient then what will be your next questions? What is the processed & paid date?
What are the allowed amount, paid amount, and patient responsibility?
Why was the claim paid to the patient?
All of the above
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3. If the claim is paid to the patient then what will be your action? Resubmit the claim to secondary insurance
Release the claim to the patient
Request for EOB and once receives then send for the posting
None of the above
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4. If the claim is paid to the patient and secondary insurance is available then will you bill the claim to secondary insurance? Yes
No
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5. If the claim is paid to the patient then will you ask for check details? Yes
No
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