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Question 1. Scenario: Amy Atwater is 12 years old and has an appointment to see Dr....

Question 1. Scenario: Amy Atwater is 12 years old and has an appointment to see Dr. Practon. Her parents (Gail and Gene) both have her included on their insurance policies. Gail's birthday is 12/3/66 and Gene's birthday is 5/12/67.

  1. Which parent's policy is considered primary (in most states) when billing Amy's insurance claim and why?
  2. What is this called?

Question 2. What does CAP stand for?

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Answer #1

Gene's birthday will consider primary when billing Amy's insurance claim because birth year doesn't matter in claiming the insurance. The person's whose birthday month comes first in the calendar year is considered primary.

It is called birthday rule.

2) CAP stands for clinical advancement program.

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