Information such as policyholder name and insurance plan appears in which section of a claim form?

Prepare for the HFMA Executive of Healthcare Revenue Cycle Exam. Use flashcards and multiple choice questions, with each question offering hints and explanations. Ace your exam!

The Subscriber section of a claim form specifically contains information regarding the policyholder. This includes the name of the person who holds the insurance policy, their insurance plan details, and potentially other relevant identifying information. This section is crucial for determining the coverage and benefits available under the policy associated with the claim.

The other options, while related to insurance and healthcare claims, focus on different aspects. For instance, the Insured option generally refers to the individual covered under the policy, which may not necessarily be the policyholder themselves; this distinction is important in cases where dependents are involved. The Patient section typically includes details about the individual receiving medical services, which may or may not align with the Subscriber if, for example, a child is receiving treatment under a parent's policy. Similarly, the Member section often refers to individuals belonging to a specific healthcare plan or network but does not specifically denote the policyholder’s information. Hence, the Subscriber section is the most appropriate choice for capturing the name of the policyholder and their insurance plan.

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