Introduction To Benefit Coding Process
14 Questions
| Attempts: 187
Questions and Answers
- 1.Who is responsible for translating the requested benefits into codes understandable to the system? (1 Mark)
- A.
Code Tester
- B.
Benefit Coder
- C.
NASCO
- D.
NPS
- 2.What is the single system solution helps the process of benefit coding? (1 Mark)
- A.
NASCO
- B.
NPS
- C.
IBM
- D.
Benefit Coder
- 3.What are the advantages of coding the benefits? (5 Marks) Choose the correct five values from the given options.
- A.
Less Memory Space
- B.
Easy Understanding
- C.
Security
- D.
Enhancement of Auto-Adjudication
- E.
Quick Claim Processing
- F.
Reduced Time
- G.
Easy to Code
- H.
Less Paperwork
- 4.Once the Claim is entered into the claim processing system, the system checks the validity of that claim. (1 Mark)
- A.
True
- B.
False
- 5.NASCO stands for _________________________________________________ (1 Mark)
- 6.NASCO proviodes the single system solution to the insurance plans for processing of claims. (1 Mark)
- A.
True
- B.
False
- 7.NASCO, LLC., was found in ____________ (1 Mark)
- A.
1897
- B.
1987
- C.
1978
- D.
1879
- 8.Usage of NASCO by the insurance companies results in __________________, __________________ & ____________________ (3 Marks)
- A.
Reduced Costs
- B.
Easy access
- C.
Reduced maintenance
- D.
Increasing quality
- E.
Increasing Manpower
- F.
Increasing performance
- 9.When Benefit Coding is implemented, Manual Intervention is increased. (1 Mark)
- A.
True
- B.
False
- 10.What are the analytical skills a benefit coder must possess? (5 Marks)
- 11.What is the term refer the description of benefits required by the contractual agreement between the plan and the customer? (1 Mark)
- A.
Benefit form
- B.
Business Requirement
- C.
Contracted Benefits
- D.
None of the above
- 12.________________________________ Phrase refers to the layers of a benefit package that have a three dimensional quality. (1 Mark)
- A.
Benefit File
- B.
Benefit Structure
- C.
Benefit String
- D.
Benefit Database
- 13.NASCO’s System Infrastructure is supported by ___________________________ (1 Mark)
- A.
NPS
- B.
Secret Agent
- C.
IBM
- D.
Service Provider
- 14.What language is a benefit coder reading when they read the Benefit File? (2 Marks) Choose the Correct two values from the given options.
- A.
Basic Values
- B.
NASCO
- C.
Benefit Plan
- D.
Mnemonics
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