Health Insurance today Chapter 11,
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | observation care
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| show | direct admission
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| Usually covers the deductible and copay or coinsurance of a primary health insurance policy | show 🗑
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| show | billing entity
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| show | medigap
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| show | federal employee health benefits program (FEHBP)
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| show | bluecard program
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| show | riders
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| show | idemnity coverage
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| The amount commonly charged for a particular medical service by providers within a particular geographic region for establishing their allowable rates | show 🗑
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| show | privacy
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| Development of an insurance claim begins when the: | show 🗑
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| show | attach a letter to the claim explaining the rationale for the higher charge
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| show | CMS 1500 claim form was developed
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| show | rejected and returned to the provider
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| show | create the corrected claim on an original (red-print) claim form
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| show | open assigned cases
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| Another term that can be used to indicate a fee-for-service plan is a ____________ plan | show 🗑
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| Benefits such as coverage for copayments, deductibles, and coinsurance are offered by which type of insurance plan? | show 🗑
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| show | physician services
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| show | member
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| show | national advertising
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| The preferred provider network (PPN) allowed rate is generally: | show 🗑
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| Small businesses are likely to select which BCBS coverage? | show 🗑
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| What is an example of a benefit covered by BCBS basic coverage? | show 🗑
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| What BCBS plan type offers the most flexibility for subscribers? | show 🗑
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| show | precertification
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| What title is listed on the BCBS identification cards for federal employees? | show 🗑
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| show | medigap
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| Which is a program that requires providers to adhere to managed care provisions | show 🗑
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| show | obtain payment for the full fee charged
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| Which is considered a minimum benefit under BCBS basic coverage? | show 🗑
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| show | mental health visits
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| Which is a special clause in an insurance contract that stipulates additional coverage over and over and above the standard contract? | show 🗑
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| Prospective authorization or precertification is a requirement of the_____BCBS managed care plan | show 🗑
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Created by:
kduvall20
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