HANNAH PASCUA

PB Training Day 2 Snap Test

1. Order Total: $900.00

Coverage: 90%

Deductible: $1000.00

Deductible Met: $800.00

OOP: $7000.00

OOP Met: $6950.00

Answer: 50.00

2. Order Total: $256.89

Coverage: 80%

Deductible: $250.00

Deductible Met: $0.00

OOP: $250.00

OOP Met: $250.00

Answer: 0.00

3. Order Total: $220.75

Coverage: 100%

Copay: $20

OOP: $1000.00

OOP Met: $985.00

Answer: 15.00

4. Order Total: $475.00

 Coverage: 85%

Deductible: $350.00

Deductible Met: $297.00

OOP: $1000.00

OOP Met: $397.00

Answer: 116.30

5. Order Total: $1599.75

Coverage: 90%

Deductible: $1300.00

Deductible Met: $1000.00

OOP: $3200.00

OOP Met: $1890.00

Answer: 429.98

6. Order Total: $650.00

Coverage: 50%

Deductible: $500.00

Deductible Met: $500.00

OOP: $2500.00

OOP Met: $900.00

Answer: 325.00

7. Order Total: $2181.95

Coverage: 80%

Deductible: $1000.00
 Deductible Met: $755.00

OOP: $3000.00

OOP Met: $2195.00

Answer: 632.39

8. Order Total: $1275.00

Coverage: 75%

Deductible: $750.00

Deductible Met: $750.00

OOP: $1500.00

OOP Met: $1500.00

Answer: 0.00

9. Order Total: $650.00

Coverage: 95%

Deductible: $300.00

Deductible Met: $300.00

OOP: $1000.00

OOP Met: $500.00

Answer: 32.5

10. Order Total: $1695.00

Coverage: 100%

Copay: $40.00

Deductible: $500.00

Deductible Met: $0.00

 OOP: $5500.00

OOP Met: $0.00

Answer: 540.00

11. A _________ is a fixed amount for a covered service, paid by a patient to the provider of service
before receiving the service.

Answer: copay

12. A _________ is the amount paid each year before insurance pays.

Answer: deductible

13. A _________ is the percentage of cost paid after the deductible.

Answer: co-insurance

14. _________ is the amount paid by the insured to avail an insurance plan coverage.

Answer: premium

15. This is the most money you will be required to pay in a year for deductibles, co-insurance and
co-payments.

Answer: Maximum Out-of-pocket

16. This is a type of insurance plan wherein you get medical care from both in-network and out-of-
network providers. If you have this plan, you’ll choose a primary doctor from a list of
participating providers. Your primary doctor can refer you to other network providers when
needed. If you want to visit an out-of-network provider, you’ll also need a referral and you may
pay higher out-of-pocket costs.

Answer: HMO

17. _______ is a statement sent by a health insurance company to covered individuals explaining
what medical treatments and/or services were paid for on their behalf by the insurance
company.
 Answer: Explanation of Benefits

18. Copay, coinsurance and deductible are otherwise known as ___________.

Answer: Patient Responsibility

Sytems / Tools used by a Dexcom Patient Billing Specialist to navigate patient’s account and
patient’s order information.

19. Oracle
20. HARP/QUADAX