Question

A nurse working in a pediatric clinic provides codes for a patient's services to a third-party payer who pays all or most of the care. This is an example of what mode of health care payment?

1) Out-of-pocket payment
2) Individual private insurance
3) Employer-based group private insurance
4) Government financing

Answer 1

The nurse providing codes for a patient's services to a third-party payer is an example of individual private insurance.

Step-by-step explanation:

The nurse working in a pediatric clinic providing codes for a patient's services to a third-party payer who pays for most or all of the care is an example of individual private insurance. In this mode of health care payment, the patient or their guardian purchases private insurance from a company that covers the cost of the patient's services. The third-party payer, such as an insurance company, reimburses the clinic for the services provided.