100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
BlueCross BlueShield Updated 2024/2025 Verified 100% $7.99   Add to cart

Exam (elaborations)

BlueCross BlueShield Updated 2024/2025 Verified 100%

 3 views  0 purchase
  • Course
  • BlueCross BlueShield
  • Institution
  • 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...

[Show more]

Preview 1 out of 2  pages

  • August 26, 2024
  • 2
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • BlueCross BlueShield
  • BlueCross BlueShield
avatar-seller
ACADEMICMATERIALS
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

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75619 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.99
  • (0)
  Add to cart