BCBS Exam Practice Questions and Answers |100% Pass

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 the program of the corporation rather than distributed to shareholders and officers of the corporation - Answer️️ -non-profit ______ corporations pay taxes on profits generated by the corporations enterprises and pay dividends to shareholders on after-tax profits - Answer️️ -for-profit BSBS is responsible for: - Answer️️ -* making prompt, direct payments * provide representatives to assist providers with claim problems/questions * provide educational seminars, workshops * provide billing manuals, newsletters * publish a directory of PAR's for BCBS subscribers PAR - Answer️️ -Participating Provider - healthcare provider who enters into a contract with a BCBS corporation BCBS programs include the following: - Answer️️ -* Fee-for-service ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Monday, September 2, 2024 12:59 PM Page | 2 * Indemnity * Managed care plans * Federal Employee Program * Medicare supplemental plans * Healthcare Anywhere __________________ plan are normally selected by individuals who do not have access to a group plan or are a small business with many employees - Answer️️ -Fee- for-service BCBS Basic coverage includes: - Answer️️ -* Hospitalization * Diagnostic laboratory services * X-rays * Surgical fees * Assistant surgical fees * Obstetric care * Intensive care * Newborn care * Chemotherapy for cancer Medical emergency care rider includes ________________________ - Answer️️ - emergency services _________________ is a healthcare delivery system that pr