Insurance Basics



Accurate insurance plan selection is a critical job function for those who perform front-end revenue cycle functions. This course was created to help you gain a better understanding of insurance plan benefit designs. We will discuss common terminology, insurance plan designs, networks, insurance benefits and medical necessity.


  • Identify common insurance plan types
  • Recognize and use common insurance terms
  • Demonstrate your understanding of basic insurance plan design
  • Demonstrate your ability to calculate an estimated patient responsibility based on plan design
  • Pre-authorization and Notifications of Admission
  • Basic understanding of Real Time Eligibility
  • Importance of entering correct insurance information

Target Audience

  • Patient Access Services
  • Schedulers
  • Business Services
  • Ancillary Departments with Registration Responsibility

CE Credits

Courses may be used to apply toward NAHAM and other certification CEU requirements.

Purchasing Details

  • Upon purchase, you will have a 6-month subscription to this course. This will allow you the opportunity to complete and review as often as you like for 6 months.
  • Courses are accessed through
  • Visit our FAQ page for technical requirements and additional details.


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