AAPC CPB - Chapter 12 Review Questions and Answers

AAPC CPB - Chapter 12 Review Questions and Answers The term for the set payment that the member pays to the healthcare provider on the day of service is the: a. office visit fee. b. co-insurance. c. copay. d. co-signer. - Answer️️ -c. copay. Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage as the: a. Member b. Group c. Subscriber d. Payer - Answer️️ -c. Subscriber ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM Certified Professional Biller By: American Academy of Professional Coders(AAPC) 2 What information can be found on the Blue Cross/Blue Shield insurance identification card? I. Type of plan II. Subscriber's address and phone number III. ID number IV. Group number V. Name of primary care provider VI. Phone number for Member Services/Benefits questions VII. Mailing address of BC/BS office a. II, V, VII b. I, III, IV, VI c. V, VI, VII d. I, III, IV, VI, VII - Answer️️ -d. I, III, IV, VI, VII The Blue Cross/Blue Shield member's insurance card will list which of the following: a. provider's name. ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM Certified Professional Biller By: American Academy of Professional Coders(AAPC) 3 b. type of insurance. c. type of plan. d. both b & c. - Answer️️ -d. both b & c. The document reporting the benefits applied to a Blue Cross/Blue Shield claim is the: a. Explanation of Payment (EOP). b. Explanation of Benefits (EOB). c. Explanation of Coverage (EOC). d. None of the above. - Answer️️ -b. Explanation of Benefits (EOB). Blue Cross and Blue Shield is the: a. oldest and smallest family of health benefit