Bcbs test questions - Study guides, Class notes & Summaries

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 TEST QUESTIONS WITH CORRECT ANSWERS Which plan is primary? When a patient is covered by her employer-sponsored group plan and by a government plan (not affiliated with the employer). - Answer-Employer- sponsored plan Which plan is primary? When a patient is covered by her employer's group insurance plan and also, covered by her spouse's group plan. - Answer-Employer-sponsored plan For treatment not covered by the insurance plan requires prospective authorization, otherwise known ...

215 Insurance License Exam Questions And Answers risk pooling - ANS spreading risk over a large group of people law of large numbers - ANS larger the group, the more certain the predictions speculative risk - ANS not insurable - involves both chance of loss or gain pure risk - ANS insurable - involves chance of loss, never gain or profit peril - ANS event causing loss Ex: fire, death, accident, windstorm, disease hazard - ANS any factor that gives rise to p...

AAPC CPB Chapter 12 Practical Application Study Guide Test 2024. Use CPB Chapter 12_Case to answer questions 1 and 2. After review of the information provided, are there any errors on the claim form? If so, which elements are incorrect? I. Type of Insurance II. Primary insurance policy number III. Primary group number IV. Federal Tax ID number V. Billing provider and NPI A. I and II B. II and IV C. III and V D. There are no errors on this claim. - correct answer A. I and II ...

CRC Exam Questions and Answers 100% Pass How is predictive modeling used in risk adjustment? - Correct Answer ️️ -to determine suspected diagnosis based on data elements. Which of the following data elements are used in predictive modeling? I. DME claims II. Prescription drug events III. Physician claims data IV. Facility claims data a. III and IV b. I, II, and IV c. I, II, and III d. I, II, III, and IV - Correct Answer ️️ -d. I, II, III, and IV What might happen as a result ...

NHA CBCS Certification Practice Exam A Questions with Complete Solutions Which of the following is considered the final determination of the issues involving the settlement of an insurance claim? - ANS: Adjudication - is the process of putting an insurance claim through a series of edits for final determination. Chapter 4 A form that contains charges, DOS, CPT codes, fees, and copayment information is called which of the following? - ANS: Encounter form is a form that contains charges, D...

BCBS TEST QUESTIONS Questions And Answers Verified 100- Correct!!_.pdf

Which plan is primary? When a patient is covered by her employer-sponsored group plan and by a government plan (not affiliated with the employer). Employer-sponsored plan Which plan is primary? When a patient is covered by her employer's group insurance plan and also, covered by her spouse's group plan. Employer-sponsored plan For treatment not covered by the insurance plan requires prospective authorization, otherwise known as ...? Precertification 101, 102, 103 and 10...