AR Process Associate Interview Questions and Answers

UB04 is used for institutional billing, while CMS1500 is used for professional billing in healthcare.

• UB04 is used for hospitals, nursing homes, and other institutional providers.

• CMS1500 is used for individual healthcare providers like doctors and therapists.

• UB04 includes fields for accommodation codes, while CMS1500 includes fields for CPT codes.

• UB04 is typically used for inpatient services, while CMS1500 is used for outpatient services.

Co-payment is a cost-sharing arrangement where the insured pays a specified percentage of the cost of covered services, while the insurance company pays the rest.

• Co-payment is a fixed amount that the insured must pay for certain services, such as doctor visits or prescription drugs.

• It is typically a set dollar amount, such as $20 per office visit.

• Co-payments are common in health insurance plans to help control costs and encourage responsible use of healthcare services.

• For exa...read more