AAPC Certified Professional Biller (CPB) — Question 17
Which document is mailed by the payer to the patient to illustrate the reimbrsement amount of a covered benefit?
Answer options
- A. Hold Harmless Clause
- B. Health Insurance Claim
- C. Centers of Medicare and Medicaid Services150 (CMS1500)
- D. Explanation of Benefits
Correct answer: D
Explanation
The correct answer is D, Explanation of Benefits, as it details the reimbursement amount for the patient and outlines the services covered. The other options do not serve this specific purpose; the Hold Harmless Clause pertains to liability, the Health Insurance Claim is a request for payment, and the CMS1500 is a claim form used for billing.