How are services provided by a healthcare institution described when a claim is submitted?

Answers

Answer 1

Healthcare institutions pay for the expenditure which are covered in their healthcare insurance.

When an insuree claims from healthcare institutions they first check the legitamacy of the claim and if they find the claim to be legit they grant the claim according to the terms and conditions of the insurance under which the insuree is protected. Sometimes healthcare institutions have their own facilities which allows cashless claims for insurees

Learn more about healthcare insurance.here:

https://brainly.com/question/1941778

#SPJ10


Related Questions

what basis for loan discharge can be used against ashford university for borrower defense

Answers

Answer:

How borrower repayment protection works

Borrower repayment protection includes proving that the university or college somehow defrauded the student into taking out student loans. If the university defrauded a student in such a way that he or she took out student loans, he or she may be a good candidate for loan repayment.

Some examples of fraud include falsifying employment data, total tuition costs, successful credit records, and which degree programs will be offered. This is part of what happened to students who attended Corinthian Colleges, a network of schools that were found guilty of lying to students. More than 15,000 students have paid off their federal loans as a result, according to the latest Department of Education report.

Only direct loans are eligible for fraud repayment, so graduates with Perkins, unsubsidized Stafford, Parent PLUS, Stafford, or Federal Consolidation loans cannot repay their loans.

Student loan lawyer Jay Fleischman said that a successful discharge "can result not only in forgiveness of the unpaid balance, but in the recovery of any money you previously paid and the removal of any negative information from your credit report related to the loan."

However, according to Fleischman, "personal injury or civil rights claims" are not grounds for paying off your federal student loans. It's important to note that just because a lawsuit was filed against a college or university doesn't mean anything for your student loan debt. You personally need to examine your situation and go through the process if you think you may be eligible for borrower protection to maturity.

Students who wish to pay off their loans must submit some required information to the Department of Education, including:

What laws did the school break?

when you were a student

Which training program were you enrolled in

Your Contact Details

How Alleged School Fraud Influenced Your Decision to Take a Student Loan

Learn more about what you need to file a claim here. Once a claim is filed, the loans will be put on hold for up to 12 months, where they will still accrue interest.

The process of paying off your loans is a serious legal matter and you may need additional help to get through it.

“You will need to prove to the government not only that your claim meets the state standard, but also that the statute of limitations for filing such a claim has not expired,” Fleishman said. "You'll also want to understand the implications of paying off your federal student loans on your taxes and whether you may be taxed on forgiven debt."

Explanation:

Which board sets these standards?
Many countries, including the United States, follow the accounting standards that the
rights reserved.
Reset
Next
Standard Board issues.

Answers

Answer:

International Accounting Standards Board (IASB)

In god we trust or God bless America
Water or soda
One million dollars or Ryan Reynolds
Black or white Or panda

Answers

Answer: the answer is truce

you should watch the video

Which neighborhood quality of life issue is most affected by the overuse of alcohol?
O a. traffic congestion
O b. noise
c.
homelessness
O d. property values

Answers

A noise is the quality of life issue that affected most neighborhood by the overuse of alcohol by someone els.e

Which neighborhood over uses alcohol?

The people living in disadvantaged neighborhoods have a negative drinking consequences than individuals living in affluent neighborhoods.

The neighborhoods that overuse alcohol tends to causes noise nuisance to other people.

Therefore, the Option B is correct.

Read more about alcohol

brainly.com/question/2231540

#SPJ1

Which of the following is true of the doctrine of res judicata? Group of answer choices It prevents a person from being tried twice even if the same crime violates both federal and state laws. It states that a federal and state governmental prosecutor cannot cooperate for one conviction. It bars subsequent civil actions involving the same parties, claims, demands or causes of action in civil law cases. It bars a person from being tried twice for the same offense under criminal and civil law. It states that if the factual evidence is the same, an individual can be tried twice under different sections of law.

Answers

The sentence which is true of the doctrine of res judicata is option B. It bars subsequent civil actions involving the same parties, claims, demands or causes of action in civil law cases.

What is civil law?

Civil law is the system of law concerned with private relations between members of a community rather than criminal, military, or religious affairs.

Therefore, the correct answer is option B. It bars subsequent civil actions involving the same parties, claims, demands or causes of action in civil law cases.

learn more about civil law: https://brainly.com/question/493036

#SPJ1

What did the supreme court decide in vernonia v. Acton?.

Answers

Answer:

Acton, legal case in which the U.S. Supreme Court on June 26, 1995, ruled (6–3) that an Oregon school board's random drug-testing policy for student athletes was reasonable under the Fourth Amendment to the U.S. Constitution.

Explanation:

What Is bill?
How many types of Bill are there?​

Answers

Answer:

What Is bill?

A bill is a legislative proposal before Congress. Bills from each house are assigned a number in the order in which they are introduced, starting at the beginning of each Congress (first and second sessions)

How many types of Bill are there?

There are four types of bills - ordinary bill , money bill , finance bill and constitutional amendment bills .

Answer:

Explanation:There are two main categories of bills: public bills and private bills. While public bills deal with matters of national interest (jus generale publicum),45 the purpose of private bills is to grant special powers, benefits or exemptions to a person or persons, including corporations (jus particulare).46

Public Bills

A public bill may be initiated by a Minister, in which case it is referred to as a “government bill”. A private Member may also initiate a public bill, in which case it is called a “private Member’s bill”.

Government Bills

A government bill is a written legislative initiative submitted to Parliament by the government for approval, and possibly for amendment, before becoming law. Such bills relate to matters of public interest and may include financial provisions. Government bills are normally introduced in the House of Commons, although bills that do not provide for the expenditure of public funds or the levying of new taxes may be introduced in either House.

you are the surety for your nephew's study loan. the bank that gave the loan to your nephew has brought a claim against you. write out a set of valid legal defenses for yourself by commercial law?

Answers

The set of valid legal defenses for the surety holder by commercial law includes:

Illegality of suretyship contractSurety's incapacity etc

What is a surety?

In legal practice, this refers to a guaranty involving a promise by a party who has assume a responsibility for the debt obligation of a borrower if that borrower defaults.

Here, there is little defense for the surety holder because the responsibility has been held by him/her on the loan, thus, the bank that gave the loan to the nephew has a higher chance of recovering then loan from him.

Read more about surety

brainly.com/question/7303089

#SPJ1

Which of the following individuals has enrolled in a plan based on a fixed enrollment period?

a.
Josephine, who enrolls in Original Medicare when she first becomes eligible for Medicare.

b.
Jorge, who enrolls in a Medicare Advantage plan during a special election period after special circumstances arose.

c.
Lucy, who enrolls in a Medicare Advantage plan after moving into a skilled nursing facility institution.

d.
Ben, who enrolls in a Medicare Advantage plan during the Medicare Advantage Open Enrollment Period (MA OEP).

Answers

Answer:

Ben, who enrolls in a Medicare Advantage plan during the Medicare Advantage Open Enrollment Period (MA OEP).

Explanation:

d. Ben, who enrolls in a Medicare Advantage plan during the Medicare Advantage Open Enrollment Period (MA OEP).

What's the difference between Medicare open enrollment and Medicare advantage Open Enrollment?

Medicare Annual Enrollment is whilst anyone who has Medicare ought to make coverage modifications for the approaching 12 months, whilst Medicare gain Open Enrollment is best for individuals who are currently enrolled in a Medicare advantage plan.

Annual enrollment is for employees who get health insurance as a part of their advantages. Open enrollment is for those who get insurance on the individual market. But every person can make modifications to their medical insurance at any time of year if they have a qualifying occasion.

Learn more about the Medicare Advantage plan here

https://brainly.com/question/17130034

#SPJ10

On december 31, 2014 approximately ________ adults were under active parole supervisiion

Answers

Answer:

bro what is this a multi choice answer or just what

Mr. Singh would like drug coverage but does not want to be enrolled in a medicare advantage plan. What should you tell him?.

Answers

Answer:

It's he's choice and tell him that there is benefit for it too and show him the benefits.

Explanation:

Just explain to him about the medicare advantage plan. If he says no still just say that you respect his answer.

Did your school misrepresent or fail to tell you important information about their admissions practices or admissions selectivity?

Answers

ensure you answer the question “changed into the alleged misrepresentation of the idea of or pivotal to your choice to attend the school.”

This question is asking whether or no longer you made a decision to wait for the college-primarily based mostly on what the college instructed you, promised you, or did as a way to join or live enrolled within the college.

What does admissions selectivity suggest?

Selectivity is measured by means of using the proportion of college students who're admitted. The decrease the proportion, the extra selective the faculty is. basically, maximum faculties are selective to three stages. A small business enterprise of specifically selective faculties admits less than a third of candidates.

Learn more about admissions selectivity here: https://brainly.com/question/8123172

#SPJ10

Public figures: Group of answer choices can never have an action in defamation. lose their defamation action rights if the remark or information is part of a story. can seek a retraction, but can never recover damages for defamation. must establish malice in order to recover damages for defamation.

Answers

Public figures  must establish malice in order to recover damages for defamation.

Who is a Public figures?

A public figure is known to be an individual such as an actor, politician, celebrity, that has social position in a given scope of influence.

Note that Public figures  must establish malice in order to recover damages for defamation.

Learn more about Public figures from

https://brainly.com/question/377502

#SPJ12

A tenant signs a lease for less than a year. What is his interest in the property? Joint tenancy Remainder Estate Apartment Estate Leasehold estate

Answers

Based on the lease signed by the tenant, his interest in the property can be said to be  Leasehold estate.

What is a Leasehold estate?

This refers to the rights that tenants have as regards a property when they sign a lease to occupy it.

That lease gives them a certain period of time to occupy the property and this is enforced by legal doctrines.

Find out more on Leasehold estate at https://brainly.com/question/16270250.

#SPJ1

Mrs. Willard wants to know generally how the benefits under original medicare might compare to the benefits package of a medicare advantage plan before she starts looking at specific plans. What could you tell her?.

Answers

Medicare Health Plans are required to contain a maximum out-of-pocket cap on Part A and Part B services.

What is Medicare?

Medicare is the kind of the insurance taken by the people who are at the age of 65 or above it in order to have the medical assistance. Medicare covers some prescription medicines, hospital stays, and other healthcare expenses.

According to the above scenario, it can be concluded that Medicare Health Plans are required to contain a maximum out-of-pocket cap on Part A and Part B services.

Medicare Health Plans additional benefits that Original Medicare does not cover, such as vision, hearing, and dental care.

Learn more about healthcare here:

https://brainly.com/question/20380876

#SPJ1

Silas asks his friend Shelby to come to his property to go fishing at his pond. If he fails to warn her that the pier has a rotten spot and she falls through and is injured, Silas would be held liable in most states. Group of answer choices True False

Answers

Answer:

True in most States. He knew there was a rotten spot but did not tell her. Shelby got injured because of the rotten spot. Well it's not all of Silas fault because someone else might owns the place but did not fix it.

A person over the age of ______ may have his or her license delayed or suspended for one year if convicted of defacing property by using paint or another liquid

Answers

Answer:

It's mostly 16 or 18 and above by law of United States.

A person over the age of 13 years or older may have his or her license delayed or suspended for one year if convicted of defacing property.

What is the issue about?

Note that a person who is 13 years or older and guilty of Vandalism in terms of defacing property with paint will make the court to suspend, restrict, or delay their diving license for one year.

Therefore, A person over the age of 13 years or older may have his or her license delayed or suspended for one year if convicted of defacing property.

Learn more about license from

https://brainly.com/question/26006107

#SPJ12

Citizens who give money to the ACLU expect the money to go toward what?

Answers

Answer:

ACLU: Gifts to the ACLU allow us the greatest flexibility in our work. While not tax deductible, they advance our extensive litigation, communications and public education programs. They also enable us to advocate and lobby in legislatures at the federal and local level to advance civil liberties. When you make a contribution to the ACLU, you become a “card-carrying” member who takes a stand for civil liberties.

Who Is The Lady Massiah

Answers

Answer:

lady massiah

Explanation:

Ministries Entrepreneurship/Entrepreneurial  

Ministries Entrepreneurship/Entrepreneurial Studies at Detroit Entrepreneurship Institute

Wayne County Community College District

Detroit, Michigan, United States

Which drink typically contains multiple types of alcohol?
a. gimlet
Ob. mint julep
Oc. Tom Collins
O d. martini

Answers

the answer for this question is option d the martini (d)

d. Martini contains multiple types of alcohol.

Which two types of alcohol make up a martini?

The martini is a cocktail made with gin and vermouth and garnished with an olive or a lemon twist. Through the years, the martini has emerged as one of the best-recognized mixed alcoholic beverages. A popular version, the vodka martini, makes use of vodka in preference to gin for the cocktail's base spirit.

There are two basic styles of martinis: dry martinis and sweet vodka martinis. Dry martinis are made with gin and vermouth, whilst candy vodka martinis (or a wet martini made with sweet vermouth) are fruity and candy.

Learn more about martini here: https://brainly.com/question/10719716

#SPJ2

Three highschool courses related to police officer?

Answers

Answer:

, criminal justice criminal justice is one of the best degree option for people in law enforcement because it directly as it's revelant topics psychology law for insis computer science cyber security counting for big safety is the main courses for police

Explanation:

all Chandigarh High school

A mother was in a nursing home and asked her attorney to draft a deed that would give her farm to her son. The attorney drew up the deed, had the mother properly execute it, and thereafter properly recorded the deed. The attorney then told the son what she had done. The son immediately went to the nursing home and told the mother that he did not want the farm so she should take back the deed. A week later, the mother returned home to the farm. Shortly thereafter, the son died without a will, leaving his wife as his only heir. The mother has brought an action against the wife to quiet her title to the farm. If the mother is successful in this action, what is the likely reason

Answers

The likely reason is that: the son never effectively accepted delivery of the deed before he died.

What is deed?

In law a deed can be defined as  a document that entails the agreed terms and conditions of a land ownership between two people  or two or more people or parties.

Based on the given scenario if the mother brought an action against her son wife after the dead of her son based on who the title of the farm belongs to, the mother might likely win the case because her son never accepted the deed of the land ownership.

Therefore the likely reason is that: the son never effectively accepted delivery of the deed before he died.

Learn more about deed here:https://brainly.com/question/4729037

#SPJ12

What's one of the most common reasons for a claim being rejected by an insurance company?

Question 2 options:

A)

The patient's insurance information has been entered incorrectly.

B)

The patient is outside of the age group that is specified for the medication.

C)

The prescribing physician is out of the patient's network.

D)

The medication prescribed isn't the correct treatment for the patient's condition.

Answers

Answer;

A) The patient's insurance information has been entered incorrectly.

Explanation:

because people mis-pell things, and are careless, it happens all the time.

Think about someone who has been a positive leader in your life. It can be someone you know personally, or someone you've learned

Answers

my name is: lizwalezka

for now no one on my side no one just myself and one. than other famous female artists

because I have learned and I have reflected on many things and there are more positive things and people but for now it is just me and God and the artists that I am mentioning. I am my own light and shine

Please helpppp! Forensic science FLVS

Answers

Mass and velocity are scalar quantities, whereas velocity and momentum are vector quantities.

What is a scalar magnitude?

A scalar quantity is any measurement that can be defined only by its magnitude (e.g., density, speed, volume, mass, etc).

Mass measures the matter in a given object, whereas matter is something that contains mass.

Speed is a physical property of the matter indicating how quickly an object is moved without regard its direction.

Mass is a scalar quantity because it is associated with magnitude, and speed is also a scalar quantity of a velocity vector.

Conversely, velocity is the speed of a given object that moves in a given direction, it is a vector quantity because it involves magnitude and direction.

Finally, momentum is a value obtained by multiplying the mass of an object by its velocity, it is also a vector quantity that has a magnitude and direction.

In conclusion, mass and velocity refers to scalar quantities, whereas velocity and momentum can be defined as vector quantities.

Learn more about scalar magnitudes here:

https://brainly.com/question/13445233

#SPJ1

The court cases San Antonio Independent School District v.Rodriguez and Serrano v. Priest dealt with concerns over ______.

Answers

Answer:

school financing

Explanation:

What does PHI stand for?

Answers

Answer:

Protected Health Information

Explanation:

It's usually expressed through HIPPA requirements/mandatory protections

Protected health information

Identify the constitutional provision that is common in both Malloy v. Hogan (1964) and either Roe v. Wade (1973) or McDonald v. Chicago (2010).

Answers

The constitutional provision common in  Malloy v. Hogan (1964), Roe v. Wade (1973) , and McDonald v. Chicago (2010) is the provision of civil liberties, offered by the 14th Amendment.

Civil liberties refer to the fundamental rights of the citzens of United States of America that stand protected and safeguarded by the constitution. It directly relates to the privacy and fundamental freedoms of people.

In the context of Malloy v. Hogan (1964) case, the defendant invoked the fifth amendment which offers him the right against self-incrimination, ensured by the 14th Amendment. The verdict was that the 14th Amendment protects the right of a citizen from self-incrimination. With regards to the Roe v. Wade (1973) case, the right of a woman-seeking abortion were confirmed and extended. It also addressed the 14th amendment, linking the decision to the right of privacy. In relation to McDonald v. Chicago, the second amendment which refers to the right to bear arms in self-defense was operational. Alike Malloy v. Hogan (1964) and Roe v. Wade (1973), the case upheld the 14th Amendment.

Therefore, the constitutional provision common in  Malloy v. Hogan (1964), Roe v. Wade (1973) , and McDonald v. Chicago (2010) is the provision of civil liberties, offered by the 14th Amendment.

Learn more about the 14th Amendment here: https://brainly.com/question/891756

#SPJ10

Mr. Schultz was still working when he first qualified for medicare. At that time, he had employer group coverage that was creditable. During his initial part d eligibility period, he decided not to enroll because he was satisfied with his drug coverage. It is now a year later and mr. Schultz has lost his employer group coverage within the last two weeks. How would you advise him?.

Answers

Before taking a 63-day break from coverage, Mr. Schultz should enroll in a Part D plan to avoid having to pay a premium penalty.

What is the Plan D of Medicare?

The majority of outpatient prescription medicines are covered under Medicare Part D. Private businesses provide Part D as a stand-alone plan for people with Original Medicare or as a package of benefits bundled within Medicare Advantage Plan.

People who are 65 years of age or older typically enroll in Medicare as a form of insurance in order to receive medical help. Some prescription medications, hospital stays, and other healthcare costs are covered by Medicare.

According to the aforementioned scenario, Schultz lost his employer's group insurance coverage within the last two weeks. He must sign a part D plan to avoid paying a penalty for the payment.

Learn more about medicare here:

https://brainly.com/question/2863737

#SPJ1

is a system of principles and standards of right or wrong in human behavior.

Answers

Answer:

moral practice ethics standard side to wrong

Other Questions
The negative acts questionnaire is a 20-question survey of workplace bullying True or false Giving a test to a group of students, the grades and gender are summarized belowA B C TotalMale 20 13 7 40Female 9 2 8 19Total 29 15 15 59If one student is chosen at random,Find the probability that the student got an A.202929592059 can someone please help mee Solve ly + 21 > 6() {yly 4]O (yly 4}(yly 6} Which of the following was absent from early medieval feudalism? Manors Knights Serfs A middle class A benzodiazepine such as _______________ can create physiological and psychological dependence and withdrawal and is therefore difficult to taper. Suppose the government grants a subsidy to the producers for every car produced. The change in the amount sold will be greater when:there is a greater number of close substitutes available to the consumerthe price elasticity of demand is inelastic.the price elasticity of demand for cars is greaterthe amount of the subsidy is smaller what are output devices? name any two common output devices. tvNext Pretest: Searching for Identity14Select the correct answer.Which choice best defines the central idea of a passage?A. It is the specific idea the passage focuses on.OB.It is the general topic of the passage.OC.It is who or what the entire passage is about.OD.It is the evidence that supports the argument. True OR False---------------------x + 65 = 87, x = 27? Read this passage from the Bill of Rights: Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances. Which principle does the passage best illustrate?A. NationalismB. Natural rightsC. Popular sovereigntyD. Rule of law Evaluate: 2/3 + 4/5 x 7/5 - 8/3 Assume the existence of an interface, GUIComponent with the following methods: - open and close: no parameters, returns boolean - move and resize: accepts two integer parameters and returns void Define a class, Window, that implements the GUIComponent interface, and has the following members: - width, height, xPos, and yPos integer instance variables, with xPos and yPos initialized to 0 - a constructor that accepts two integer variables (width followed by height) which are used ti initialize the width and height instance variables - An implementation of open: that sends "Window opened" to System.out, and returns true - An implementation of close that sends "Window closed" to System.out, and returns true - An implementation of resize that modifies the width and height variables to reflect the specified size - An implementation of move that modifies xPos and yPos to reflect the new position Marla sells grapes in a perfectly competitive market. The market price for 1 ton of grapes is $1,000. Marla has 5 tons of grapes to sell. If her total variable cost is $4,600 and her total fixed cost is $400, then Marla is making a normal profit. False True Find the product of the given polynomials. (5x + 5 - 2x) (4 + 7x -1) If $5x-7=13x+17$, what is $6(x-4)$? describe 2 ways of salting out proteins Which is the graph of f(x) = x? A shift to a more expansionary monetary policy will a. exert a stabilizing impact if the effects of the policy are felt when the economy is operating at its full-employment capacity. b. exert a stabilizing impact on the economy if the effects of the policy are felt during an economic downturn. c. help bring inflation under control. d. reduce the natural rate of unemployment. the ratio of cats and dogs at the city pound is 92 to 144.which statement descrbes this relationship?