Week 7
Health Insurance Knowledge Quiz
Test your understanding of health insurance coverage with our engaging quiz! This quiz will cover important topics related to benefits, maternity care, claims adjustments, and more. Whether you're new to the field or looking to refresh your knowledge, this quiz is perfect for you.
- 5 thought-provoking questions
- Multiple-choice format
- Learn about health insurance policies and procedures
A member calls to advise they were recently diagnosed with high blood pressure and wants to know if we will cover a blood pressure monitor. You verify the benefits for the member, the member thanks you for the information and advises you answered all of their questions, should you end your call at this time?
1. Yes the member was just looking for benefits
2. No, Obtain the members email address and offer to send them the Brainshark presentation for hypertension
3. Continue on and tell the member about the weather
4. Just hang up
Under which policy is Maternity care such as, Inpatient care, Care at birthing facilities and services received on an outpatient basis would the member be responsible for a $1,500 copay per pregnancy?
Standard Option
Both Standard and Blue Focus
Blue Focus
None of these
When adjusting a claim in Streamline the first thing I should do is what?
F9 to store
Integrity Check
Skip this claim and do something easier
Catch up on the Bachelor
Which BL document advises if you can pay an OOA claim crossed over from Medicare?
Medicare Processing Professional
Home Vs Host
Out of Area out of State/Plan Claims
Professional Provider Look Up New York
NYS service area Madison County what Blue Link to refer to and what is the service area?
A. Timely File Guidelines service area 801
B. Home vs Host service area California
C. New York Territories by County and Plan code service area Excellus BCBS
D. Provider Payer Identification numbers service area the doctor’s office
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