BCBS | QUESTIONS WITH VERIFIED ACCURATE
ANSWERS| LATEST UPDATED
In what year was the BlueCross BlueShield Association (BCBSA) created - Answers -
1986
BCBS would like the office to ask patients to sign a ROI form - Answers -yearly
ROI - Answers -Release of Information
When filling out claim forms - Answers -ALL CAPS No Punctuation
The National Provider Identifier (NPI) - Answers -10 digit number issued to providers
and healthcare organizations
RA - Answers -remittance advice
blue cross (pre paid ) hospital - Answers -1920's in Texas
blue shield (pre paid) medical - Answers -1938 in California
American hospital association - Answers -approved blue cross
BC + BS = BCBS Association - Answers -in 1980's
non profit - Answers -charitable educational civic or humanitarian organizations
non profit corporations - Answers -profits made are returned to better the program. no
taxes
for profit - Answers -pay taxes on profit generated
for profit corporations - Answers -profits made here are returned to share holders
6 BCBS plans - Answers -fee for service (traditional), indemnity, managed care, federal
employment program, Medicare supplements, healthcare anywhere
federal employment program - Answers -no group number, use 3 digit enrollment code
as group number
indemnity - Answers -most flexible, most costly
commercial insurance is anything that - Answers -is not government insurance
, commercial health insurance covers medical expenses - Answers -of individuals and
groups
premiums and benefits vary according to the type of plan offered - Answers -
commercial health insurance
group insurance usually cost less - Answers -than individual private health insurance
file a claim within - Answers -a year from date of service
if patient has 2 BCBS plans - Answers -use one cms -1500 claim form
hmo - Answers -health maintenance organization (big on prevention)
What covers the medical expenses of individuals and groups - Answers -Commercial
insurance
What covers car related financial losses - Answers -Automobile insurance
Who covers Reimbursement for income lost as a result of a temporary or permanent
illness or injury - Answers -Disability insurance
SSDI and SSI provides - Answers -Assistance to people with disabilities
For disability what is a base period - Answers -Wages earned in a 12 month period
prior to the disability
What covers losses to a third party caused by the insured, on the premises of the
insured or by an object owned by the insured.medical expenses are out of pocket until
the case is settled - Answers -Liability insurance
Process of a third party payer recovering healthcare expenses - Answers -Subrogation
What usually only covers deductible, co-pay and coinsurance - Answers -Commercial
Supplemental plans
When the primary payer has processed the claim, generate a 2nd CMS-1500 claim fir
the second payer and include a copy of they primary payer remittance advice it is called
- Answers -Billing secondary plans
What is SOF - Answers -Signature on file
On CMS-1500 claims how should text be entered - Answers -Uppercase letters
If both parents have a plan for the child which plan is used - Answers -The patent
whose birthday appears first on a calendar
ANSWERS| LATEST UPDATED
In what year was the BlueCross BlueShield Association (BCBSA) created - Answers -
1986
BCBS would like the office to ask patients to sign a ROI form - Answers -yearly
ROI - Answers -Release of Information
When filling out claim forms - Answers -ALL CAPS No Punctuation
The National Provider Identifier (NPI) - Answers -10 digit number issued to providers
and healthcare organizations
RA - Answers -remittance advice
blue cross (pre paid ) hospital - Answers -1920's in Texas
blue shield (pre paid) medical - Answers -1938 in California
American hospital association - Answers -approved blue cross
BC + BS = BCBS Association - Answers -in 1980's
non profit - Answers -charitable educational civic or humanitarian organizations
non profit corporations - Answers -profits made are returned to better the program. no
taxes
for profit - Answers -pay taxes on profit generated
for profit corporations - Answers -profits made here are returned to share holders
6 BCBS plans - Answers -fee for service (traditional), indemnity, managed care, federal
employment program, Medicare supplements, healthcare anywhere
federal employment program - Answers -no group number, use 3 digit enrollment code
as group number
indemnity - Answers -most flexible, most costly
commercial insurance is anything that - Answers -is not government insurance
, commercial health insurance covers medical expenses - Answers -of individuals and
groups
premiums and benefits vary according to the type of plan offered - Answers -
commercial health insurance
group insurance usually cost less - Answers -than individual private health insurance
file a claim within - Answers -a year from date of service
if patient has 2 BCBS plans - Answers -use one cms -1500 claim form
hmo - Answers -health maintenance organization (big on prevention)
What covers the medical expenses of individuals and groups - Answers -Commercial
insurance
What covers car related financial losses - Answers -Automobile insurance
Who covers Reimbursement for income lost as a result of a temporary or permanent
illness or injury - Answers -Disability insurance
SSDI and SSI provides - Answers -Assistance to people with disabilities
For disability what is a base period - Answers -Wages earned in a 12 month period
prior to the disability
What covers losses to a third party caused by the insured, on the premises of the
insured or by an object owned by the insured.medical expenses are out of pocket until
the case is settled - Answers -Liability insurance
Process of a third party payer recovering healthcare expenses - Answers -Subrogation
What usually only covers deductible, co-pay and coinsurance - Answers -Commercial
Supplemental plans
When the primary payer has processed the claim, generate a 2nd CMS-1500 claim fir
the second payer and include a copy of they primary payer remittance advice it is called
- Answers -Billing secondary plans
What is SOF - Answers -Signature on file
On CMS-1500 claims how should text be entered - Answers -Uppercase letters
If both parents have a plan for the child which plan is used - Answers -The patent
whose birthday appears first on a calendar
