NHA CMAA Practice Exam with Verified Answers Graded A+
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Course
NHA CMAA
Institution
NHA CMAA
NHA CMAA Practice Exam with Verified Answers Graded A+
adjuster
claim
premium
provider
indemnities
deductible
A person who represents either party of
an insurance claim is the:
A. doctor
B. adjuster
C. provider
D. subscriber
A request for payment under an insur-
ance contractor bond i...
NHA CMAA Practice Exam with Verified Answers Graded A+
A person who represents either party of
an insurance claim is the:
A. doctor
adjuster
B. adjuster
C. provider
D. subscriber
A request for payment under an insur-
ance contractor bond is called a(n):
A. insurance application
claim
B. claim
C. dual choice request
D. total disability
Payment made periodically to keep an
insurance policy in force is called:
A. time limit
premium
B. premium
C. coinsurance
D. fee for service
A person or institution that gives medical
care is a(n):
A. third-party payer
provider B. provider
C. adjuster
D. insurance agent
Benefits that are made in the form of
cash payments are known as:
A. indemnities
indemnities B. deductibles
C. medical co-pays
D. cash advances
An amount the insured must pay before
policy benefits begin is called:
A. indemnity
deductible B. extended benefits
C. deductible
D. catastrophic
,NHA CMAA Practice Exam with Verified Answers Graded A+
An organization that offers health insur-
ance at a fixed monthly premium with
little or no deductible and works through
a primary care provider is called a(n):
health maintenance organization
A. preferred provider
B. health maintenance organization
C. member physician
D. private health provider
A patient receiving ambulatory care at
a hospital or other health facility without
being admitted a bed patient is called
a(n):
outpatient
A. inpatient
B. outpatient
C. carrier
D. adjuster
An injury that prevents a worker from
performing one or more of the regular
functions of his job would be known as
a:
partial disability A. partial disability
B. permanent disability
C. total disability
D. resultant disability
One who belongs to a group insurance
plan is called:
A. third-party payer
subscriber B. subscriber
C. carrier
D. no correct answer
A sum of money provided in an insurance
policy, payable for covered services is
called:
benefits A. deductible
B. benefits
C. dues payable
D. premium
, To prevent the insured from receiving a
duplicate payment for losses under more
than one insurance policy is called:
coordination of benefits A. fee-for-service
B. hospital benefits
C. coordination of benefits
D. non duplication benefits
When a patient has health insurance, the
percentage of covered services that is
the responsibility of the patient to pay is
known as:
coinsurance
A. coinsurance
B. pre-defined policy
C. comprehensive
D. in percent policy
A defense against malpractice may in-
clude acts of independent agents that
stand in the way of the causal connection
between the negligent act and the dam-
age suffered. This is called
intervening cause
A. comparative negligence
B. tolling of the statute of limitations
C. intervening cause
D. assumption of the risk
E. contributory negligence
An unexpected event which may cause
injury is called:
A. dread disease rider
accident B. accident
C. adjuster
D. no correct answer
A doctor who agrees to accept an insur-
ance companies pre-established fee as
the maximum amount to be collected is
participating physician
called:
A. subscriber
B. claim representative
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