Certified Revenue Cycle Representative (CRCR) Practice Exam 2026 - Free CRCR Practice Questions and Study Guide

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If an insurance verification response indicates that a subscriber has a single policy, what is the status of the subscriber's spouse?

Automatically enrolled

Neither enrolled nor entitled to benefits

When an insurance verification response indicates that a subscriber has a single policy, it implies that the coverage applies solely to the individual subscriber and does not extend to their spouse. In insurance terms, if a policy is held only by one individual, their spouse is not automatically included in that coverage. This means that unless there is a separate policy that includes the spouse or an additional rider that covers them, the spouse would be neither enrolled in the policy nor entitled to any benefits under the single policy held by the subscriber.

In contexts where insurance benefits are discussed, it's essential to understand that coverage typically requires either a dependent status or an additional insurance policy that specifically names the spouse as a covered party. Without such provisions, the spouse does not have claim to any services or payments that the subscriber might receive under that single insurance agreement.

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Entitled to partial benefits

Eligible for additional benefits

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