17.1 Define the basic terms used by the insurance industry.

17.2 Compare fee-for-service plans, HMOs, and PPOs.

17.3 Outline the key requirements for coverage by the Medicare, Medicaid, TRICARE, and CHAMPVA programs.

17.4 Describe allowed charge, contracted fee, capitation and the formula for RBRVS.

17.5 Outline the tasks performed to obtain the information required to produce an insurance claim.

17.6 Produce a clean CMS-1500 health insurance claim form.

17.7 Explain the methods used to submit an insurance claim electronically.

17.8 Recall the information found on every payer's remittance advice.