AAPC CPB - Chapter 12 Quiz
An indemnity plan is also referred to as _____________?
a. Fee-for-Service
b. Self-pay
c. Health Savings account
d. Preferred Provider Organization - ANS - a. Fee-for-Service
What is the correct action when a claim has been submitted to BCBS but the provider
has not received a response?
a. Automatically refile the claim.
b. Check claim status with the local BCBS carrier.
c. Write-off the balance.
d. Transfer the charges to patient responsibility. - ANS - b. Check claim status with the
local BCBS carrier.
What is the correct action when the three-character prefix is not appended to a BCBS
identification number?
a. Append the most common local prefix and file the claim.
b. Append XXX as the prefix and file the claim.
c. Append ZZZ as the prefix and file the claim.
d. Look at the patient's BCBS card and append the appropriate prefix listed on the card.
- ANS - d. Look at the patient's BCBS card and append the appropriate prefix listed on
the card.
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 - ANS - d. Claim requirements differ
between plans
An indemnity plan is also referred to as _____________?
a. Fee-for-Service
b. Self-pay
c. Health Savings account
d. Preferred Provider Organization - ANS - a. Fee-for-Service
What is the correct action when a claim has been submitted to BCBS but the provider
has not received a response?
a. Automatically refile the claim.
b. Check claim status with the local BCBS carrier.
c. Write-off the balance.
d. Transfer the charges to patient responsibility. - ANS - b. Check claim status with the
local BCBS carrier.
What is the correct action when the three-character prefix is not appended to a BCBS
identification number?
a. Append the most common local prefix and file the claim.
b. Append XXX as the prefix and file the claim.
c. Append ZZZ as the prefix and file the claim.
d. Look at the patient's BCBS card and append the appropriate prefix listed on the card.
- ANS - d. Look at the patient's BCBS card and append the appropriate prefix listed on
the card.
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 - ANS - d. Claim requirements differ
between plans
