AAPC CPB - Chapter 12 Review Questions

AAPC CPB - Chapter 12 Review | Questions and Correct Solutions Latest Update

The term for the set payment that the member pays to the healthcare provider on the day of service is

the:

• office visit fee.
• co-insurance.
• copay.
• co-signer. - Answer - c. copay.

Blue Cross/Blue Shield identifies the individual or employee who pays for healthcare insurance coverage

as the:

• Member
• Group
• Subscriber
• Payer - Answer - c. Subscriber

What information can be found on the Blue Cross/Blue Shield insurance identification card?

• Type of plan

II. Subscriber's address and phone number III. ID number IV. Group number

• Name of primary care provider

VI. Phone number for Member Services/Benefits questions VII. Mailing address of BC/BS office

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• II, V, VII
• I, III, IV, VI
• V, VI, VII
• I, III, IV, VI, VII - Answer - d. I, III, IV, VI, VII

The Blue Cross/Blue Shield member's insurance card will list which of the following:

• provider's name.
• type of insurance.
• type of plan.
• both b & c. - Answer - d. both b & c.

The document reporting the benefits applied to a Blue Cross/Blue Shield claim is the:

• Explanation of Payment (EOP).
• Explanation of Benefits (EOB).
• Explanation of Coverage (EOC).
• None of the above. - Answer - b. Explanation of Benefits (EOB).

Blue Cross and Blue Shield is the:

• oldest and smallest family of health benefits companies in the United States.
• newest and largest family of health benefits companies in the United States.
• oldest and largest family of health benefits companies in the United States.
• only health insurance company promoting preferred provider organizations. - Answer - c. oldest and

largest family of health benefits companies in the United States.Blue Cross/Blue Shield offers which type of Medicare plan?

• Medicare Plus
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