A medical assistant is submitting an urgent referral request to an insurance company for authorization. Which of the following describes how long the authorize process will take?
24 hr
3 working days
Immediate approval via phone
10 days
The Correct Answer is C
A. 24 hr: Urgent referrals often require quick processing, but it may take longer than 24 hours depending on the insurance company's policies.
B. 3 working days: This time frame is more typical for standard, non-urgent referrals.
C. Immediate approval via phone: Urgent referrals can sometimes be approved immediately via phone, particularly when immediate care is needed. This is the most appropriate choice for an urgent situation.
D. 10 days: Ten days is too long for an urgent referral and is more typical for non-urgent or routine requests.
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View Related questions
Correct Answer is D
Explanation
A. The date the patient's illness ended: The form does not require the end date of the patient’s illness, but the date of service and diagnosis are needed.
B. The patient's filing limits: Filing limits are set by the insurance carrier and are not required information on the CMS-1500 form.
C. The patient's previous account balance: The previous account balance is not required on the claim form; this form is for billing current services.
D. The patient's insurance identification number: The patient's insurance identification number is required to process the claim with the correct insurance provider.
Correct Answer is B
Explanation
A. Computerized physician order entry: Computerized physician order entry (CPOE) is used by providers to enter and manage orders for tests, medications, and treatments, not for patient requests.
B. Patient portal: A patient portal is a feature of an electronic health record that allows patients to request refills, schedule appointments, and access their health information online.
C. Prescribing guide: A prescribing guide helps providers make decisions about medications but does not allow patients to make requests.
D. Computer on wheels: A computer on wheels (COW) is a mobile workstation used by healthcare providers for various tasks but does not directly facilitate patient requests.