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...
BlueCross BlueShield
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 contracts to provide services to subscribers for special rates were
known as _____ hospitals. - member
In what year was the BlueCross BlueShield Association (BCBSA) created? - 1986
Which is function of the BlueCross BlueShield Association (BCBSA)? - owning BCBS trademarks
The difference between for-profit status and nonprofit status is that - for-profit corporations pay
taxes on profits generated by the corporation
The pre admission review component of a utilization management plan - evaluates medical
necessity and required level of care for inpatient procedures, services, and elective admissions
An example of a benefit provided by BlueCross BlueShield basic coverage is _____ health care. -
mental
The outpatient pretreatment authorization plan (OPAP) is also known as - precertification
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