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Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on
February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the
primary insurance for their children for billing?
A. Joe, because he is the male head of the household.
B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd.
C. Mary, because her birth year is before Joe's birth year.
D. Joe, because his birth month and day are before Mary's birth month and day. - D. Joe, because his
birth month and day are before Mary's birth month and day.
Which type of managed care insurance allows patients to self-refer to out-of-network providers and
pay a higher co-insurance/copay amount?
I. HMO
II. PPO
III. EPO
IV. POS
V. Capitation
A. II
B. IV
C. II and IV
D. II, III, and V - C. II and IV
AAPC CPB Practice Exam A 2026 2026 Questions and Answers A 16pages
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