QUESTION 12

The basic elements of claims processing are deceptively simple: Receive the claim, adjudicate, write a check and finally, ________________.

	a.	suspend
	b.	archive
	c.	enroll
	d.	bill

2 points

QUESTION 13

Unused funds in an HRA or HSA may _____over for use in future years, though certain rules and limitations apply.

	a.	Deplete
	b.	Bill
	c.	Roll
	d.	Tax

2 points

QUESTION 14

Most states have laws mandating certain benefits (e.g., mental health benefits, substance abuse benefits, infertility benefits, and so forth). If a benefit has been mandated, all MCOs and health insurance companies must offer that benefit in their insured products. True or False

True

False

3 points

QUESTION 15

The job of the _________________department is to estimate future medical expenses.

	a.	Finance
	b.	Underwriting
	c.	Actuarial
	d.	Marketing