BCBS Test Questions with All Correct Answers

BCBS Test Questions with All Correct Answers blue cross began when and where for what - Answer-1929 at baylour un. in dallas texas for hospital bills blue shield began when and where for what - Answer-1938 at house of delegates for physician services when did blue cross and blue shield merge together - Answer-1986 and became blue cross blue shield association BCBSA non profit corp are for - Answer-chariable, educational,civic,or humanitarian organizations whose profits return to corp for profit corp - Answer-pay taxes on profits and pay shareholders on after tax profits BCBS maintain negotiated contracts with providers because - Answer-prompt payment to PAR maintain professional representatives provide educational semiars, workshops and manuals publish name of provider as advertising BCBS can cancell you in non profit status when - Answer-premiums aren't paid fraudulent info PARs can also particapate in preferred provider network PPN which - Answer-agrees to accept the allowed rate which is generally 10 percent lower than PAR rate. nonparticipating providers nonPARS - Answer-have no contract and expect to be paid in full for services rendered what are the 6 programs BCBS include - Answer-fee-for-service indemity managed care-HMO,PPO,EPO federal employee FEP medicare suppelment healthcare anywhere list 5 coverage of BCBS basic coverage - Answer-hospilazation