CPB (Certified Professional Biller) Certification Practice Exam

Which document is mailed by the payer to the patient to illustrate the reimbursement amount of a covered benefit?

1. Explanation of Benefits

2. Vehicle Registration Certificate

3. Passport Renewal Form

4. Library Card Application

The correct answer is: Explanation of Benefits

The correct answer is the Explanation of Benefits. This document plays a crucial role in the healthcare billing and reimbursement process. After a medical claim has been processed by the insurance payer, the Explanation of Benefits is sent to the patient. It outlines how the claim was handled, including the amount billed, the reimbursement amount for the covered services, any patient responsibility, and details regarding the services rendered. This transparency helps patients understand their financial responsibilities and the workings of their insurance benefits after receiving healthcare services. The other options do not pertain to healthcare or reimbursement. The Vehicle Registration Certificate is related to vehicle ownership, the Passport Renewal Form is involved in travel identification and documentation, and the Library Card Application pertains to borrowing library materials. None of these documents would provide the necessary information regarding healthcare reimbursement.