Office Administrative Assistant Practice Exam

Which document typically serves as the basis for a medical claim?

1. Procedure note

2. Patient registration form

3. Superbill

4. Consent form

The correct answer is: Superbill

The superbill serves as the basis for a medical claim because it is a comprehensive document that contains detailed information about the services rendered to a patient during a visit. It typically includes diagnosis codes, procedure codes, and the charges for those services, making it essential for billing purposes. The superbill is designed to be submitted to insurance companies for reimbursement, streamlining the claims process by providing all the necessary information in one place. In contrast, the procedure note outlines the specific medical procedures that were performed but does not include comprehensive billing information necessary for insurance claims. The patient registration form holds initial patient information, such as demographics and insurance details, but lacks the data required for a claim submission. The consent form is primarily focused on obtaining permission for treatments and does not contain any billing or procedural details essential for medical claims.