health insurance
• Question 1
4 out of 4 points BCBS fee-for-service is also known as traditional coverage. Selected Answer: True
Correct Answer: True • Question 2
4 out of 4 points A patient cannot be asked to pay a nonPAR in full on the day of service. Selected Answer: False
Correct Answer: False
Response Feedback: The correct answer is a patient may be asked to pay a nonPAR in full at the time of service. • Question 3
4 out of 4 points A participating provider agrees to write off the difference or balance between the amount charged by the provider and the approved fee established by the insurer. Selected Answer: True
Correct Answer: True • Question 4
4 out of 4 points BCBS indemnity coverage requires the subscriber to seek treatment from specific providers. Selected Answer: False
Correct Answer: False
Response Feedback: The correct answer is BCBS indemnity coverage allows flexibility with freedom to use any licensed healthcare provider. • Question 5
4 out of 4 points Claims that have not been paid should be rebilled within six months. Selected Answer: False
Correct Answer: False
Response Feedback: The correct answer is claims that have not been paid should be rebilled within 30 days. • Question 6
4 out of 4 points Riders are special clauses stipulating additional coverage over and above the standard contract. Selected Answer: True
Correct Answer: True • Question 7
4 out of 4 points The mandatory second surgical opinion requirement is necessary when a patient is admitted for surgery through the emergency department. Selected Answer: False
Correct Answer: False
Response Feedback: The correct answer is the mandatory second surgical opinion requirement is necessary when a patient is considering elective, nonemergency surgical care. • Question 8
4 out of 4 points PARs can collect the full
4 out of 4 points BCBS fee-for-service is also known as traditional coverage. Selected Answer: True
Correct Answer: True • Question 2
4 out of 4 points A patient cannot be asked to pay a nonPAR in full on the day of service. Selected Answer: False
Correct Answer: False
Response Feedback: The correct answer is a patient may be asked to pay a nonPAR in full at the time of service. • Question 3
4 out of 4 points A participating provider agrees to write off the difference or balance between the amount charged by the provider and the approved fee established by the insurer. Selected Answer: True
Correct Answer: True • Question 4
4 out of 4 points BCBS indemnity coverage requires the subscriber to seek treatment from specific providers. Selected Answer: False
Correct Answer: False
Response Feedback: The correct answer is BCBS indemnity coverage allows flexibility with freedom to use any licensed healthcare provider. • Question 5
4 out of 4 points Claims that have not been paid should be rebilled within six months. Selected Answer: False
Correct Answer: False
Response Feedback: The correct answer is claims that have not been paid should be rebilled within 30 days. • Question 6
4 out of 4 points Riders are special clauses stipulating additional coverage over and above the standard contract. Selected Answer: True
Correct Answer: True • Question 7
4 out of 4 points The mandatory second surgical opinion requirement is necessary when a patient is admitted for surgery through the emergency department. Selected Answer: False
Correct Answer: False
Response Feedback: The correct answer is the mandatory second surgical opinion requirement is necessary when a patient is considering elective, nonemergency surgical care. • Question 8
4 out of 4 points PARs can collect the full