Bcbs - Study guides, Class notes & Summaries

BCBS/HCSC EXAM Q & A!!

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. Answer A. I and II Response Feedback: The type of insurance should be marked as OTHER in Ite...

If you go outside of your network the member is responsible for ______% of the payment - 100 __________________ plan are normally selected by individuals who do not have access to a group plan or are a small business with many employees - Fee-for-service __________ corporations are charitable, educational, civic or humanitarian organizations whose profits are returned to the program of the corporation rather than distributed to shareholders and officers of the corporation - non-profit Blue...

BCBS Exam Questions with Correct Answers Blue Cross Blue Shield began as two separate __________ health plans - Answer-prepaid 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 corporat...

BCBS NE 2022 Exam Questions with Correct Answer How many counties are in the Blue Cross Blue Shield of Nebraska HMO and PPO plans service area for 2022? A. 76 B. 68 c. 42 D. 82 - Answer-A What tiers of drugs will your client have to pay a deductible before they are covered under the Part D benefit included with the Blue Cross and Blue Shield of Nebraska's Medicare Advantage plans? A. Tiers 1, 2, B. Tiers 1 & 2 C. Tiers 3 D. None of the above. - Answer-C The nurse line of...

BCBS LMS Training 2018 Exam Questions with Correct Answers What action can an individual request if BlueCross or its Business Associates refuse a request to amend or correct the individual's PHI? - Answer-The individual can request a statement of disagreement. Any potential breach of PHI must be reported to BlueCross within _______? - Answer-Three Business Days Who should a Business Associate contact with questions concerning HIPAA compliance? - Answer-BlueCross privacy official Which...

BCBS Exam Questions and Answers All Correct Origin of Blue cross - Answer-1929 BCBS originally covered only: - Answer-Hospital Bills Resolution passed by the House of Delegates at an American Medical Assosiation: What Year? - Answer-1938 Resolution supported physicians to do what? - Answer-cooperate with prepaid healthcare plans First known prepaid health plan was formed where? - Answer-Alto, California In what year was the first known prepaid health plan? - Answer-1939 Blue ...

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). - correct 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. - correct answer Employer-sponsored plan For treatment not covered by the insurance plan requires prospective authorization, otherwise known as ...? - correct answer Prec...

BCBS Study guide Questions with Correct Answers What covers the medical expenses of individuals and groups - Answer-Commercial insurance What covers car related financial losses - Answer-Automobile insurance Who covers Reimbursement for income lost as a result of a temporary or permanent illness or injury - Answer-Disability insurance SSDI and SSI provides - Answer-Assistance to people with disabilities For disability what is a base period - Answer-Wages earned in a 12 month perio...

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 cros...