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My AAPC CPB - Chapter 12 Review 2023/2024 updated to pass
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My AAPC CPB - Chapter 12 ReviewThe term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - correct answer c. copay. Blue Cross/Blue Shield identifies the individual or employee wh...

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  • November 22, 2023
  • 7
  • 2023/2024
  • Exam (elaborations)
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My AAPC CPB - Chapter 12 Review
The term for the set payment that the member pays to the healthcare provider on the day of service is the:
a. office visit fee.
b. co-insurance.
c. copay.
d. co-signer. - correct answer c. copay.
Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage as the:
a. Member
b. Group
c. Subscriber
d. Payer - correct answer c. Subscriber
What information can be found on the Blue Cross/Blue Shield insurance identification card?
I. Type of plan
II. Subscriber's address and phone number
III. ID number
IV. Group number
V. Name of primary care provider
VI. Phone number for Member Services/Benefits questions VII. Mailing address of BC/BS office
a. II, V, VII b. I, III, IV, VI
c. V, VI, VII
d. I, III, IV, VI, VII - correct answer d. I, III, IV, VI, VII
The Blue Cross/Blue Shield member's insurance card will list which of the following:
a. provider's name.
b. type of insurance.
c. type of plan.
d. both b & c. - correct answer d. both b & c.
The document reporting the benefits applied to a Blue Cross/Blue Shield claim is the:
a. Explanation of Payment (EOP).
b. Explanation of Benefits (EOB).
c. Explanation of Coverage (EOC).
d. None of the above. - correct answer b. Explanation of Benefits (EOB).
Blue Cross and Blue Shield is the:
a. oldest and smallest family of health benefits companies in the United States.
b. newest and largest family of health benefits companies in the United States.
c. oldest and largest family of health benefits companies in the United States.
d. only health insurance company promoting preferred provider organizations. - correct answer c. oldest and largest family of health benefits companies in the United States.
Blue Cross/Blue Shield offers which type of Medicare plan?
a. Medicare Plus

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