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

The correct answer focuses on Disability as a situation that typically requires Large Group Health Plans (LGHP). In the context of the Medicare Secondary Payer (MSP) rules, LGHPs are often involved when an individual is eligible for Medicare due to disability. For individuals under the age of 65 who are disabled, their employer's health plan can be the primary payer, provided that the employer has 20 or more employees.

This is significant because when a disabled individual also becomes eligible for Medicare, the LGHP takes precedence over Medicare for healthcare claims during the coordination of benefits process. In such cases, the LGHP is responsible for paying primary, which can impact billing and payment processes in the revenue cycle.

The other scenarios listed do not typically involve LGHPs in the same manner. Routine medical check-ups, pregnancy-related services, and preventive health screenings are more commonly associated with general health services and do not directly relate to the complexities of employer-sponsored health plans tailored for disabled individuals. Thus, the focus on Disability in the context of LGHPs and Medicare is well justified.