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Free FHIAS — Fellow, Health Insurance Advanced Studies Exam Questions and Answers

Last updated: April 1, 2025

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FHIAS — Fellow, Health Insurance Advanced Studies

#Question
If a patient wishes to appeal a decision regarding prior authorization, what should they do first?
A.
Accept the decision
B.
Contact the claims department
C.
Review the reasons given
D.
Submit new documents
Correct Answer: C
Reviewing the reasons given forms the basis for a solid appeal regarding prior authorization decisions.

FHIAS — Fellow, Health Insurance Advanced Studies

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If a patient wishes to appeal a decision regarding prior authorization, what should they do first?


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#Question
What can happen if a health insurance plan lacks sufficient provider network?
A.
Increased access
B.
Greater satisfaction
C.
Limited provider choice
D.
Improved patient engagement
Correct Answer: C
Insufficient provider networks can lead to limited access to required care and negatively affect patient satisfaction.

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#Question
If a health insurance provider offers a sliding scale for premiums, what does that mean for members?
A.
No cost-sharing ahead
B.
Variable pricing based on income
C.
All fixed costs
D.
Fixed rates
Correct Answer: B
A sliding scale allows premiums to adjust based on members' income, making health insurance more affordable.

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If a health insurance provider offers a sliding scale for premiums, what does that mean for members?


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#Question
How can streamlined communication affect the claims process?
A.
Increase chance of errors
B.
Increase complexity
C.
Cause disputes
D.
Reduce processing time
Correct Answer: D
Streamlined communication can result in faster claims processing and enhance overall efficiency.

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#Question
An employee assistance program (EAP) can benefit employees by offering what type of service?
A.
Lifestyle redesign
B.
Personal financial management
C.
Emergency physical care
D.
Legal consultation
Correct Answer: B
EAPs often provide benefits related to personal and family issues, including financial management resources.

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#Question
If a health insurer adopts a multi-tiered network, what does that imply for members?
A.
More variable access to providers
B.
Unlimited provider availability
C.
Increased premiums
D.
Restricted service options
Correct Answer: A
Multi-tiered networks can provide varying degrees of access to providers, impacting patient choice and costs.

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#Question
What role does social media play in shaping health insurance outcomes?
A.
Increases access to misinformation
B.
Limits consumer knowledge
C.
Complicates health literacy
D.
Facilitates patient engagement
Correct Answer: D
Social media can enhance patient engagement and resource sharing, positively influencing health outcomes.

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