Guarantor/Coverage Information

Question 1

MC: When a guarantor account is changed, what happens? (Choose All that apply)
A. Changes the guarantor responsible for the HB HAR
B. Self-pay follow-up level set to base.
C. Makes the guarantor ineligible to be used by that patient record.
D. Breaks the link between the guarantor account and the patient record.

Answer 1

A,B,D

Question 2

True/False: Deactivating a guarantor account is not patient specific; It will affect other patients linked to the guarantor account.

Answer 2

False

Question 3

True/False: Removing a guarantor account should only be done when an account was linked to a patient in error.

Answer 3

True

Question 4

___ is an HB tool that reviews coverages for potential changes in filing order, identifies HB HARs that have been affected by retroactive changes and auto updates if the HAR is in Open or DNB status.

Answer 4

Coverage Manager

Question 5

____ can automatically add the new coverage to a PB visit account’s filing order.

Answer 5

Retroadjudication