Que. 1 : What is the full form of CPT?
   1.  Current Procedure Transformation
   2.  Current Procedure Terminology
   3.  Current Process Terminology
   4.  Current Price Terminology
Que. 2 : For a health claim to be admissible, which of the following conditions must be satisfied ?
   1.  The member hospitalized must be covered under the insurance policy
   2.  Admission of the patient within the period of insurance
   3.  The hospital where the person was admitted should be as per the definition of “hospital or nursing home” under the policy otherwise the claim is not payable.
   4.  All of the above
Que. 3 : For a health claim to be admissible, which of the following conditions must be satisfied ?
   1.  Domiciliary hospitalization
   2.  Health insurance policies normally cover hospitalization exceeding 24 hours as an in-patient. Therefore the date and time of admission as well as discharge becomes important to note if this condition is satisfied.
   3.  Day-care treatments
   4.  All of the above
Que. 4 : For a health claim to be admissible, which of the following conditions must be satisfied ?
   1.  OPD
   2.  Treatment procedure/line of treatment
   3.  Pre-existing illnesses
   4.  All of the above
Que. 5 : For a health claim to be admissible, which of the following conditions must be satisfied ?
   1.  Initial waiting period
   2.  Exclusions
   3.  Compliance with conditions with respect to the claims.
   4.  All of the above
Que. 6 : Which of the below is a Compliance with conditions with respect to the claims?
   1.  Intimation of claim within certain period – we have seen the importance of intimation earlier. The policy could stipulate a time within which such intimation must reach the company.
   2.  Submission of claim documents within a certain period.
   3.  Not being involved in misrepresentation, misdescription or non-disclosure of material facts.
   4.  All of the above
Que. 7 : Which of the below illness have a initial waiting period?
   1.  Cataract
   2.  Benign Prostatic Hypertrophy
   3.  Hysterectomy
   4.  All of the above
Que. 8 : Which of the below illness have a initial waiting period?
   1.  Hernia, Hydrocele
   2.  Fistula, Piles,
   3.  Knee / Hip Joint replacement etc.
   4.  All of the above
Que. 9 : Which of the below is a mode of treatment?
   1.  Unani
   2.  Siddha
   3.  Homeopathy
   4.  All of the above
Que. 10 : Which of the below is a mode of treatment?
   1.  Ayurveda
   2.  Naturopathy
   3.  Homeopathy
   4.  All of the above

Similar Posts: