Bcbs new exam - Study guides, Class notes & Summaries

EPO - ...provides benefits to subscribers who are required to receive services from network providers IDS - ...organizations of affiliated providers sites that offer joint healthcare services to subscribers HMO - ...providers comprehensive healthcare services to voluntarily enrolled members on a prepaid basis POS - ...patients can use the managed care panel of providers (paying discounted healthcare cost) or self-refer to out-of-network providers (and pay higher cost) PPO - ...contracted ...

NHA CBCS Certification Practice Exam A Questions with Complete Solutions Which of the following is considered the final determination of the issues involving the settlement of an insurance claim? - ANS: Adjudication - is the process of putting an insurance claim through a series of edits for final determination. Chapter 4 A form that contains charges, DOS, CPT codes, fees, and copayment information is called which of the following? - ANS: Encounter form is a form that contains charges, D...

GBA 1 - Study Guide Questions and Answers Rated A+ What was the purpose of the Health Maintenance Organization Act of 1973? The health maintenance organization action of 1973 provided federal initiatives - consisted of federal grants and loans to organizations wishing to investigate the feasibility of "federally qualified HMO" How did the passage of the Health Maintenance Organization Act of 1973 affect the growth of HMOs? The government began to withdraw its funding during the Reagan adminis...

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 offers? ...

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 offers? ...

Place the options below in order of claim submission, where all insurances are relevant. Humana ABC Auto Medicaid Medicare - Answer- ABC Auto Humana Medicare Medicaid It is highly unlikely that a patient would have all four of these insurances. However, if they do, the order in which the claims are submitted is relevant. It is assumed that since there is auto insurance involved, that this claim has to do with an automobile accident. The auto insurance should be filed first. Humana, a pri...

EPIC TRAINING Exam Questions With Correct Answers What is the NPI Number? - CORRECT ANSWER 3 Where do you find a patient? - CORRECT ANSWER Account Maintenance What is the TAX ID - CORRECT ANSWER What is the surcharge for New York? - CORRECT ANSWER 9.63% What is New York's domestic payer for BCBS? - CORRECT ANSWER Excellus What does DOR stand for? - CORRECT ANSWER Designation of an authorized representative Do Guarantor records hold ...

EPIC TRAINING Exam Questions With Correct Answers What is the NPI Number? - CORRECT ANSWER 3 Where do you find a patient? - CORRECT ANSWER Account Maintenance What is the TAX ID - CORRECT ANSWER What is the surcharge for New York? - CORRECT ANSWER 9.63% What is New York's domestic payer for BCBS? - CORRECT ANSWER Excellus What does DOR stand for? - CORRECT ANSWER Designation of an authorized representative Do Guarantor records hold ...

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 offers? ...

EPIC TRAINING EXAM QUESTIONS WITH CORRECT ANSWERS What is the NPI Number? - CORRECT ANSWERS 3 Where do you find a patient? - CORRECT ANSWERS Account Maintenance What is the TAX ID - CORRECT ANSWERS What is the surcharge for New York? - CORRECT ANSWERS 9.63% What is New York's domestic payer for BCBS? - CORRECT ANSWERS Excellus What does DOR stand for? - CORRECT ANSWERS Designation of an authorized ...