DiplomaIC-36 · 2023 Edition
Health Insurance Claims Management
Insurance Institute of India — Diploma Examination
Practice MCQs for the III Specialised Diploma paper IC-36 Health Insurance Claims Management: medical terminology for health insurance, the health claims process and adjudication, the role of Third Party Administrators (TPAs), provider network management, cost containment and clinical audit, medical coding (ICD-10, ICD-10-PCS, CPT), and fraud and abuse control.
✓7 chapters✓Chapter-wise practice tests✓1 full mock test (100 multiple choice questions · 2 hrs)✓Personalised study recommendations✓Subject tutor (available after purchase)
Individual module
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315verified practice questions
Across 7 chapters — every question reviewed and exam-aligned.
| Chapter | Chapter Name | Questions |
|---|---|---|
| 1 | Basics of Medical Terminology for Health Insurance | 45 |
| 2 | Claims Management | 45 |
| 3 | Role of Third Party Administrators | 45 |
| 4 | Provider Network Management | 45 |
| 5 | Cost Containment | 45 |
| 6 | Medical Coding | 45 |
| 7 | Fraud and Abuse Control | 45 |
1 Mock Test
•100 random questions
•120 minutes
•Fresh questions every attempt
Draws from all 315 questions across every chapter, so no two attempts are the same.
Chapters in this module
1. Basics of Medical Terminology for Health Insurance • 45 MCQs
2. Claims Management • 45 MCQs
3. Role of Third Party Administrators • 45 MCQs
4. Provider Network Management • 45 MCQs
5. Cost Containment • 45 MCQs
6. Medical Coding • 45 MCQs
7. Fraud and Abuse Control • 45 MCQs
Exam-preparation material only. InsuranceGurukul does not sell insurance or financial products.