Bcbs basic coverage Study guides, Class notes & Summaries
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![BCBS chap 13 Exam Questions with All Correct Answers](/docpics/4671712/65e740d17c261_4671712_121_171.jpeg)
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BCBS chap 13 Exam Questions with All Correct Answers
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BCBS chap 13 Exam Questions with All Correct Answers 
 
BCBS basic coverage - Answer-Hospitalization 
Diagnostic service 
X rays 
Surgical fees 
Assistant surgeon fees 
Obstetric 
Intensive care 
Newborn care 
Chemo 
 
BCBS major medical - Answer-Office visits 
Outpatient non surgical 
Physical and occupational therapy 
Purchase of durable medical equipment 
Mental health visits 
Allergy testing and shots 
Prescription drugs 
Private duty nurse 
Dental care for accident injury 
 
Blue cros...
![Understanding Health Insurance - Chapter 13 ] 52 Questions and Answers(A+ Solution guide)](/docpics/3157813/64c73d0a9f091_3157813_121_171.jpeg)
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Understanding Health Insurance - Chapter 13 ] 52 Questions and Answers(A+ Solution guide)
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One of the requirements that a participating provider must comply with is to 
1) Make fee adjustments for the difference between amounts charged to patients for services provided 
and payer-approved fees. 
2) Write off deductible and copay/coinsurance amounts and accept as payment in full the BCBS-allowed 
fees. 
3) Maintain a provider representative department to assist with billing and payment problems for 
submitted claims. 
4) Purchase billing manuals and newsletters published by the payer a...
![Chapter 8 Private Payers ACA Plans EXAM questions and answers 2024](/docpics/4220682/65a32ee620b7d_4220682_121_171.jpeg)
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Chapter 8 Private Payers ACA Plans EXAM questions and answers 2024
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What is a benefit to employers when offering medical benefits to their employees? 
Federal income tax advantages 
 
 
 
Which of the following apply to group health plans? 
Group health plans (GHP) 
 
 
 
 
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Riders are also called _____. 
options 
 
 
 
An employer may do which of the following during negotiations to change benefits to a group policy? 
Omit a specific benef...
![Ch. 8 Private Payers Blue Cross Blue Shield test questions fully solved & updated 2024.](/docpics/4220647/65a32db3b0987_4220647_121_171.jpeg)
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Ch. 8 Private Payers Blue Cross Blue Shield test questions fully solved & updated 2024.
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What is a benefit to employers when offering medical benefits to their employees? 
Federal income tax advantages 
 
 
Which of the following apply to group health plans? (Select all that apply.) 
The group is considered the policyholder. 
Employers' human resource departments manage GHP benefits. 
The individual is considered the certificate holder. 
 
 
 
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Which of the fo...
![GBA 1 - Study Guide Questions and Answers Rated A+](/docpics/4106651/658f29198d5ca_4106651_121_171.jpeg)
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GBA 1 - Study Guide Questions and Answers Rated A+
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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...
![BLUE CROSS BLUE SHIELD EXAM questions and answers 2024](/docpics/4220703/65a32f928639e_4220703_121_171.jpeg)
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BLUE CROSS BLUE SHIELD EXAM questions and answers 2024
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Primary Insurance 
Insurance plan responsible for paying insurance claims first. 
 
 
 
UCR 
Usual, Customary, and reasonable 
 
 
 
 
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Fee-for-Service 
Reimbursement that increases payment if the healthcare service fees increase, if multiple units of service are provided, or is more expensive services are provided instead of less expensive services. 
 
 
 
Preferred Provid...
![BCBS Exam Questions with Correct Answers](/docpics/4965730/66167f0cc2714_4965730_121_171.jpeg)
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BCBS Exam Questions with Correct Answers
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BCBS Exam Questions with Correct 
Answers 
 
Blue Cross Blue Shield began as two separate __________ health plans - Answerprepaid 
In ______ the membership of the separate BCBS national associations voted to 
combine personnel under the leadership of a single president - Answer-1977 
In ______ BCBS merged into a single coproration - Answer-1986 
__________ corporations are charitable, educational, civic or humanitarian 
organizations whose profits are returned to the program of the corporation r...
![BCBS Test Questions with All Correct Answers](/docpics/4965616/66167931b7c7c_4965616_121_171.jpeg)
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BCBS Test Questions with All Correct Answers
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BCBS Test Questions with All Correct 
Answers 
 
blue cross began when and where 
for what - Answer-1929 at baylour un. in dallas texas for hospital bills 
blue shield began when and where for what - Answer-1938 at house of delegates for 
physician services 
when did blue cross and blue shield merge together - Answer-1986 and became blue 
cross blue shield association BCBSA 
non profit corp are for - Answer-chariable, educational,civic,or humanitarian 
organizations whose profits return to corp ...
![BCBS chap 13 Exam Questions with All Correct Answers](/docpics/4965701/66167d294f28f_4965701_121_171.jpeg)
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BCBS chap 13 Exam Questions with All Correct Answers
- Exam (elaborations) • 3 pages • 2024
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BCBS chap 13 Exam Questions with All 
Correct Answers 
 
BCBS basic coverage - Answer-Hospitalization 
Diagnostic service 
X rays 
Surgical fees 
Assistant surgeon fees 
Obstetric 
Intensive care 
Newborn care 
Chemo 
BCBS major medical - Answer-Office visits 
Outpatient non surgical 
Physical and occupational therapy 
Purchase of durable medical equipment 
Mental health visits 
Allergy testing and shots 
Prescription drugs 
Private duty nurse 
Dental care for accident injury 
Blue cross - Answe...
![BCBS Study guide Questions with Correct Answers](/docpics/4965606/661678b9c3a1b_4965606_121_171.jpeg)
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BCBS Study guide Questions with Correct Answers
- Exam (elaborations) • 4 pages • 2024
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BCBS Study guide Questions with 
Correct Answers 
 
What covers the medical expenses of individuals and groups - Answer-Commercial 
insurance 
What covers car related financial losses - Answer-Automobile insurance 
Who covers Reimbursement for income lost as a result of a temporary or permanent 
illness or injury - Answer-Disability insurance 
SSDI and SSI provides - Answer-Assistance to people with disabilities 
For disability what is a base period - Answer-Wages earned in a 12 month period pri...
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