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Ch. 13 BlueCross BlueShield Review Updated 2024/2025 Verified 100% $7.99   Add to cart

Exam (elaborations)

Ch. 13 BlueCross BlueShield Review Updated 2024/2025 Verified 100%

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  • Ch. 13 BlueCross BlueShield

rider - What is a special clause in an insurance contract that stipulates additional coverage over and above the standard contract? preferred provider network - What is a program that requires providers to adhere to managed care provisions? obtain payment for the full fee charged - One of the e...

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  • August 26, 2024
  • 1
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Ch. 13 BlueCross BlueShield
  • Ch. 13 BlueCross BlueShield
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ACADEMICMATERIALS
Ch. 13 BlueCross BlueShield Review
rider - What is a special clause in an insurance contract that stipulates additional coverage over
and above the standard contract?




preferred provider network - What is a program that requires providers to adhere to managed
care provisions?



obtain payment for the full fee charged - One of the expectations that a nonparticipating provider
has is to ____ for services rendered.



suitcase - The plan ID card for a subscriber who opts for BCBS's Healthcare Anywhere PPO
coverage uniquely contains the _____ logo.



hospitalizations - What is considered a minimum benefit under BCBS basic coverage?



mental health visits - What is considered a service reimbursed by BCBS major medical coverage?



hospital-only or comprehensive hospital and medical coverage. - BCBS indemnity coverage is
characterized by certain limitations, including

make fee adjustments for the difference between amounts charged to patients for services provided and
payer-approved fees. - One of the requirements that a participating provider must comply with is
to



outpatient pretreatment authorization - Prospective authorization or precertification is a
requirement of the _____ BCBS managed care plan.



Government-Wide Service Benefit Plan - What phrase is located on a Federal Employee Program
plan ID card?

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