Clearinghouses do not perform error checks on claims before forwarding them to payers.

Methods of Transmitting Electronic Claims

Quiz
•
Health Sciences
•
10th Grade
•
Easy
DaiJah Davis
Used 2+ times
FREE Resource
5 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
True
False
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which method is the most commonly used method for transmitting electronic claims between organizations, involving a standardized format?
Clearinghouse
Direct Data Entry (DDE)
Web Portal
Electronic Data Interchange (EDI)
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What is the role of a clearinghouse in electronic claims transmission?
Allowing patients to directly submit claims using EDI
Reducing errors and sending claims to multiple payers.
Manually entering claim information using the CMS portal
Offering web portals for claim submission
4.
MULTIPLE SELECT QUESTION
30 sec • 1 pt
Which of the following are methods of transmitting electronic claims?
A. EDI
B. Clearinghouse
C. DDE
D. Mail
E. Fax
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Which of the following is an advantage and which is a risk of using electronic claims?
Faster processing is an advantage; data breaches are a risk.
Slower processing is an advantage; increased paperwork is a risk.
Manual entry is an advantage; faster approval is a risk.
Less accuracy is an advantage; reduced efficiency is a risk.
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