insurance test
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
---|---|---|---|---|---|
show | Prepaid medical plans.
🗑
|
||||
show | Palo Alto, Ca
🗑
|
||||
What are the special contract clauses that stipulate additional coverage for health care services? | show 🗑
|
||||
show | Members
🗑
|
||||
When is a second surgical opinion (SSO) required? | show 🗑
|
||||
show | alternatives to acute care settings
🗑
|
||||
show | Accreditation of new prepaid hospital plans.
🗑
|
||||
show | the organization
🗑
|
||||
show | True
🗑
|
||||
show | shareholders and officers
🗑
|
||||
show | Usual, Customary and Reasonable
🗑
|
||||
In what year did Blue Cross and Blue Shield merge to form BCBSA? | show 🗑
|
||||
show | Prospective authorization
🗑
|
||||
What percentage of non surgical care is paid when a patient has purchased the special accidental injury rider policy if caare is rendered within the policie's specific guidelines? | show 🗑
|
||||
show | plan
🗑
|
||||
Assignment of benefits means what? | show 🗑
|
||||
in what year did Blue Cross and Blue Shield national associations vote to combine personnel under the leadership of one president responsible to both boards? | show 🗑
|
||||
show | one
🗑
|
||||
Can a physician choose to participate or not with commercial plans? | show 🗑
|
||||
Are dependent names printed on the Federal Employee Progaram (FEP) id cards? | show 🗑
|
||||
How long do providers customarly have to file a claim for riembursement after the patient receives treatment? | show 🗑
|
||||
show | the patient's insurance plan
🗑
|
||||
show | Chronic conditions
🗑
|
||||
is BCBS the only payer contracted with the federal government to reimbuse health care services for federal employees? | show 🗑
|
||||
Services routinely included in BCBS basic coverage | show 🗑
|
||||
show | for Federal Employee Program claims
🗑
|
||||
show | fee for service (taditional), Indemnity, Managed care plans, Federal Employee Programs (FEP), Medicare supplemental plans & Healthcare anywhere
🗑
|
||||
show | true
🗑
|
||||
show | other
🗑
|
||||
show | employer sponsored plan
🗑
|
||||
what must be omitted when entering the ID number on the CMS-1500 claim for in block 1a | show 🗑
|
||||
show | tax ID number of the billing entity
🗑
|
||||
Waht is entered in Block 15 of the CMS-1500 claim form | show 🗑
|
||||
show | dates during which the patient was unable to work
🗑
|
||||
Block 24g of the CMS-15000 claim requires entry of the number of what of the service/pricedure peorted in 24d | show 🗑
|
||||
If the provider has agreed to accept assingment what is marked in Box 27 of the CMS-1500 claim | show 🗑
|
||||
when entering a modifer on the CMS-1500 claim you separate the modifer from the CPT/HCPCS code number by using a space or a dash? | show 🗑
|
||||
show | admission and discharge
🗑
|
||||
show | left blank or to discribe a procedure code such as CPT code 99070
🗑
|
||||
Block 24h of the CMS-1500 is only used for what type of claim? | show 🗑
|
||||
show | leave it blank
🗑
|
||||
Block 24B of the claim form requires you to enter what? | show 🗑
|
||||
What goes in block 17 of the claim form | show 🗑
|
||||
what goes in block 11a | show 🗑
|
||||
What goes in Block 9 if the patiens has only one insurance policy | show 🗑
|
||||
show | when he/she is in poor health and when payments provided to the provider far exceeds the average
🗑
|
||||
What are the 6 BCBL program types | show 🗑
|
||||
name 6 services routinely included in BCBS basic coverage | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
theresav