Bcbs basic coverage - Study guides, Class notes & Summaries

What title is listed on the BlueCross BlueShield identification cards for federal employees? - Government-Wide Service Benefit Plan The retrospective review process associated with a utilization management program - reviews medical necessity and appropriateness of medical procedures and services provided as part of claims processing Prior to the joint venture between BlueCross and BlueShield, the BlueShield plans covered only - physician services BlueCross facilities that had signed contr...

What is a benefit to employers when offering medical benefits to their employees? Federal income tax advantages Which of the following apply to group health plans? (Select all that apply.) The group is considered the policyholder. Employers' human resource departments manage GHP benefits. The individual is considered the certificate holder. Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Which of the fo...

Primary Insurance Insurance plan responsible for paying insurance claims first. UCR Usual, Customary, and reasonable Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:04 / 0:15 Full screen Fee-for-Service Reimbursement that increases payment if the healthcare service fees increase, if multiple units of service are provided, or is more expensive services are provided instead of less expensive services. Preferred Provid...

GBA 1 - Study Guide Questions and Answers Rated A+ What was the purpose of the Health Maintenance Organization Act of 1973? The health maintenance organization action of 1973 provided federal initiatives - consisted of federal grants and loans to organizations wishing to investigate the feasibility of "federally qualified HMO" How did the passage of the Health Maintenance Organization Act of 1973 affect the growth of HMOs? The government began to withdraw its funding during the Reagan adminis...

Revenue Cycle Management Ch.13 BlueCross BlueShield Practice Questions and Answers One of the requirements that a participating provider must comply with is to a. purchase billing manuals and newsletters published by the payer and pay registration fees to attend payer training sessions. b. make fee adjustments for the difference between amounts charged to patients for services provided and payer-approved fees. c. maintain a provider representative department to assist with billing and pa...

BCBS Exam Practice Questions and Answers |100% Pass Blue Cross Blue Shield began as two separate __________ health plans - Answer️️ - prepaid In ______ the membership of the separate BCBS national associations voted to combine personnel under the leadership of a single president - Answer️️ -1977 In ______ BCBS merged into a single coproration - Answer️️ -1986 __________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to...

BCBS chap 13 Exam Questions with All Correct Answers BCBS basic coverage - Answer-Hospitalization Diagnostic service X rays Surgical fees Assistant surgeon fees Obstetric Intensive care Newborn care Chemo BCBS major medical - Answer-Office visits Outpatient non surgical Physical and occupational therapy Purchase of durable medical equipment Mental health visits Allergy testing and shots Prescription drugs Private duty nurse Dental care for accident injury Blue cross - Answe...

BCBS Exam Questions with Correct Answers Blue Cross Blue Shield began as two separate __________ health plans - Answerprepaid In ______ the membership of the separate BCBS national associations voted to combine personnel under the leadership of a single president - Answer-1977 In ______ BCBS merged into a single coproration - Answer-1986 __________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to the program of the corporation r...

BCBS Test Questions with All Correct Answers blue cross began when and where for what - Answer-1929 at baylour un. in dallas texas for hospital bills blue shield began when and where for what - Answer-1938 at house of delegates for physician services when did blue cross and blue shield merge together - Answer-1986 and became blue cross blue shield association BCBSA non profit corp are for - Answer-chariable, educational,civic,or humanitarian organizations whose profits return to corp ...

BCBS Exam Questions with Correct Answers Blue Cross Blue Shield began as two separate __________ health plans - Answerprepaid In ______ the membership of the separate BCBS national associations voted to combine personnel under the leadership of a single president - Answer-1977 In ______ BCBS merged into a single coproration - Answer-1986 __________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to the program of the corporation r...