Most third-party payers pay for medical services only if they are:

a. diagnostic in nature

b. not pre-existing

c. medical necessary

d. provided in a hospital

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2.

When an individual is eligible for coverage under two different health insurance policies, ____ limits the total benefits an insured individual can receive from both plans to not more than 100% of the allowable expenses.

a. COBRA

b. coordination of benefits

c. the health reimbursement arrangement

d. medical necessity

c. medical necessary

d. provided in a hospital

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3. The Affordable Care Act has set limits on what a patient must pay on their own, which is referred to as the:

a. cap rate

b. maximum pay

c. minimum amount

d. out-of-pocket maximum