Primacy Rules Quiz

Froggy Jumps

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Test your memory basics on primacy effects.

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peausha

United States

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Froggy Jumps Primacy Rules QuizOnline version Test your memory basics on primacy effects. by peausha 1 In most cases, which payer is primary if you are an active employee with a group plan? a Medicare b Medicaid c Group health plan (employer) 2 What is the payer called that covers a claim first in COB? a Secondary payer b Tertiary payer c Primary payer 3 For a child covered by both parents, which rule often sets the primary plan? a Birthday Rule b Older parent's plan c Parent with higher premium 4 Which document explains order of payment and coverage rules? a Explanation of Benefits only b Coordination of Benefits policy c Medical bill 5 Primary vs secondary affects what aspect of billing? a Who pays first and how claims are coordinated b Patient age requirements c Network status 6 When a service is covered by both plans, what may the primary payer reduce to max out-of-pocket? a Deductible only b Copay c Allowed amount 7 True or False: You should always submit to the primary payer first. a True b Depends on the provider c False 8 What must be considered in plans with COB provisions? a Order of benefits and coordination b Provider network only c Monthly premiums

Froggy Jumps

Primacy Rules QuizOnline version

Test your memory basics on primacy effects.

by peausha

In most cases, which payer is primary if you are an active employee with a group plan?

Medicare

Medicaid

Group health plan (employer)

What is the payer called that covers a claim first in COB?

Secondary payer

Tertiary payer

Primary payer

For a child covered by both parents, which rule often sets the primary plan?

Birthday Rule

Older parent's plan

Parent with higher premium

Which document explains order of payment and coverage rules?

Explanation of Benefits only

Coordination of Benefits policy

Medical bill

Primary vs secondary affects what aspect of billing?

Who pays first and how claims are coordinated

Patient age requirements

Network status

When a service is covered by both plans, what may the primary payer reduce to max out-of-pocket?

Deductible only

Copay

Allowed amount

True or False: You should always submit to the primary payer first.

True

Depends on the provider

False

What must be considered in plans with COB provisions?

Order of benefits and coordination

Provider network only

Monthly premiums

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Primacy Rules Quiz

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Primacy Rules QuizOnline version

by peausha

In most cases, which payer is primary if you are an active employee with a group plan?

What is the payer called that covers a claim first in COB?

For a child covered by both parents, which rule often sets the primary plan?

Which document explains order of payment and coverage rules?

Primary vs secondary affects what aspect of billing?

When a service is covered by both plans, what may the primary payer reduce to max out-of-pocket?

True or False: You should always submit to the primary payer first.

What must be considered in plans with COB provisions?

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