2026 BUNDLED QUESTIONS AND EXPERT
ANSWERS A+
● When a provider signs a contract to be a participating provider with
an insurance payer they are agreeing to:
a. Only see patients that are enrolled with that insurance company.
b. Bill the patient for the total amount the insurance company does not
pay.
c. Accept the fee schedules set by the insurance company.
d. All of the above.. Answer: c. Accept the fee schedules set by the
insurance company.
● What is the timely filing requirement for Blue Cross Blue Shield?
a. 90 days
b. 180 days
c. Filed by December 31st
d. Claim requirements differ between plans. Answer: d. Claim
requirements differ between plans
, ● Which of the following statements is NOT correct regarding timely
filing?
a. Claims must be filed before the end of the timely filing limit.
b. Each BCBS carrier sets their own timely filing limit.
c. If the physician fails to send a claim during the timely filing limit the
balance can be sent to the patient.
d. The timely filing limit can vary from plan to plan within the same
insurance company.. Answer: c. If the physician fails to send a claim
during the timely filing limit the balance can be sent to the patient.
● An indemnity plan is also referred to as _____________?
a. Fee-for-Service
b. Self-pay
c. Health Savings account
d. Preferred Provider Organization. Answer: a. Fee-for-Service
● Which of the following is an account that is usually funded by the
employee only and reimburses employees for specified expenses as they
are incurred?
a. HRA
b. HSA