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insurance test

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Prepaid medical plans.  
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show Palo Alto, Ca  
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What are the special contract clauses that stipulate additional coverage for health care services?   show
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show Members  
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When is a second surgical opinion (SSO) required?   show
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show alternatives to acute care settings  
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show Accreditation of new prepaid hospital plans.  
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show the organization  
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show True  
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show shareholders and officers  
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show Usual, Customary and Reasonable  
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In what year did Blue Cross and Blue Shield merge to form BCBSA?   show
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show Prospective authorization  
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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
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show plan  
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Assignment of benefits means what?   show
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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
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show one  
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Can a physician choose to participate or not with commercial plans?   show
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Are dependent names printed on the Federal Employee Progaram (FEP) id cards?   show
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How long do providers customarly have to file a claim for riembursement after the patient receives treatment?   show
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show the patient's insurance plan  
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show Chronic conditions  
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is BCBS the only payer contracted with the federal government to reimbuse health care services for federal employees?   show
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Services routinely included in BCBS basic coverage   show
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show for Federal Employee Program claims  
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show fee for service (taditional), Indemnity, Managed care plans, Federal Employee Programs (FEP), Medicare supplemental plans & Healthcare anywhere  
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show true  
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show other  
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show employer sponsored plan  
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what must be omitted when entering the ID number on the CMS-1500 claim for in block 1a   show
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show tax ID number of the billing entity  
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Waht is entered in Block 15 of the CMS-1500 claim form   show
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show dates during which the patient was unable to work  
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Block 24g of the CMS-15000 claim requires entry of the number of what of the service/pricedure peorted in 24d   show
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If the provider has agreed to accept assingment what is marked in Box 27 of the CMS-1500 claim   show
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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
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show admission and discharge  
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show left blank or to discribe a procedure code such as CPT code 99070  
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Block 24h of the CMS-1500 is only used for what type of claim?   show
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show leave it blank  
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Block 24B of the claim form requires you to enter what?   show
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What goes in block 17 of the claim form   show
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what goes in block 11a   show
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What goes in Block 9 if the patiens has only one insurance policy   show
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show when he/she is in poor health and when payments provided to the provider far exceeds the average  
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What are the 6 BCBL program types   show
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name 6 services routinely included in BCBS basic coverage   show
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Created by: theresav