Explain insurance precertification requirements

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Reference no: EM133912466

Question

1. At Mr. James' arrival, what actions would you need to take related to his insurance information?

2. Explain insurance precertification requirements for hospital scheduled and emergency admissions.

3. Dr.Wang has the MA draw blood from Mr. James and run a CBC on it in the office. What amount will you collect from Mr. James for his visit today? Please explain.

4. Dr. Wang escorts Mr. James to your desk and advises you he wants Mr. James to see Dr. Warren, a gastroenterologist for serious reflux issues. What do you need to do to arrange this? Please explain.

5. Does Mr. James have out-of-network benefits? What does this mean? Please explain.

6. What copayments does Mr. James' insurance card state he is responsible for?

Reference no: EM133912466

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