Infosys Certified Healthcare Enrollment and Billing Fundamentals
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Join Premium10 Infosys Certified Healthcare Enrollment and Billing Fundamentals practice questions with answers
Real Lex exam-pattern multiple-choice questions for the Infosys Certified Healthcare Enrollment and Billing Fundamentals certification. Each question includes the correct answer. The full question bank is available to Premium members.
- Question 1
How are dunning rules typically different for large customers compared to small group and individual customers?
- ✓More relaxed and flexible for large customersCorrect
- BMore strict and constrained for large customers
- CThe same for all customers
- DOnly applicable to individual customers
- Question 2
What actions are taken when a customer does not pay even after the grace period ends?
- ✓The customer is given an additional grace periodCorrect
- BThe customer is lapsed/terminated
- CThe customer's details are deleted from the payer's system
- DA lapse/termination confirmation letter is sent
- Question 3
What role do brokers play in the dunning process?
- ✓Communicating with customers about non-paymentCorrect
- BUnderstanding the reason for non-payment
- CSetting up new policies for customers
- DHelping to resolve payment issues
- Question 4
Which of the following data points are typically included in a dunning call/email/letter?
- ✓Amount dueCorrect
- BTime elapsed from due date
- CAny grace period
- DTermination date
- Question 5
What factors influence the grace period for customers?
- ✓Customer's payment historyCorrect
- BMarket segment
- CState mandates
- DType of insurance plan
- Question 6
Which of the following is NOT a type of plan/product name retrieved by the Billing system?
- ✓PPOCorrect
- BPOS
- CHMO
- DEPO
- Question 7
What type of information is necessary for creating a Bill Profile?
- ✓Member's Medical History, Provider's Credentials, Claim HistoryCorrect
- BPlan Sponsor Identifier, Products Subscribed, Funding Type
- CNetwork Utilization, Benefit Utilization, Claim Adjudication
- DPremium Payment History, Deductible Amount, Copay Amount
- Question 8
What type of rate is used when medical and dental benefits are combined together and have a single rate?
- ✓Flexible rateCorrect
- BSeparate rate
- CTiered rate
- DFlat rate
- EBlended rate
- Question 9
What are the most common charges on a bill/invoice in health insurance?
- ✓Premiums, Fees, ChargesCorrect
- BPremiums, Taxes, Discounts
- CPremiums, Fees, Discounts, Penalties
- DFees, Charges, Penalties, Taxes
- Question 10
What information is retrieved during the Bill Case Installation process?
- ✓Enrollment details, Coverage details, Premium detailsCorrect
- BPlan Sponsor details, Product details, Billing Rate details
- CClaim details, Payment details, Provider details
- DMember details, Benefit details, Network details
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