Question 1

BlueShield plans were created as the result of a resolution passed by the House of Delegates at an American Medical Association meeting in 1938. This resolution supported the concept of __________ health insurance that would encourage physicians to cooperate with prepaid health care plans.

Accepted Answer

A)   commercial
B)   mandatory
C)   profit
D)   voluntaryE) A) and B)
F) A) and C)

Question 2

The BCBS outpatient pretreatment authorization plan (OPAP)  requires preauthorization of outpatient physical, occupational, and speech therapy services. Other terms for OPAP include precertification and __________ authorization.

Accepted Answer

A)   point-of-service
B)   preferred
C)   prospective
D)   retrospectiveE) None of the above
F) A) and B)

Question 3

BCBS fee-for-service __________ coverage includes minimum benefits, such as inpatient hospitalizations and diagnostic laboratory services.

Accepted Answer

A)   basic
B)   contractual
C)   major medical
D)   traditionalE) A) and D)
F) A) and C)

Question 4

BCBS indemnity coverage offers choice and flexibility to subscribers who want to receive a full range of benefits along with the __________.

Accepted Answer

A)   freedom to use any licensed health care provider
B)   option to use network-based health care providers
C)   requirement of obtaining referrals to providers
D)   restriction of selecting a primary care providerE) C) and D)
F) B) and C)

Exam 13: Bluecross Blueshield

The BCBS outpatient pretreatment authorization plan (OPAP) requires preauthorization of outpatient physical, occupational, and speech therapy services. Other terms for OPAP include precertification and __________ authorization.

Correct Answer
verified

BCBS fee-for-service __________ coverage includes minimum benefits, such as inpatient hospitalizations and diagnostic laboratory services.

Correct Answer
verified

BCBS indemnity coverage offers choice and flexibility to subscribers who want to receive a full range of benefits along with the __________.

Correct Answer
verified

BlueShield plans were created as the result of a resolution passed by the House of Delegates at an American Medical Association meeting in 1938. This resolution supported the concept of __________ health insurance that would encourage physicians to cooperate with prepaid health care plans.

Correct Answer
verified

Exam 13: Bluecross Blueshield

The BCBS outpatient pretreatment authorization plan (OPAP) requires preauthorization of outpatient physical, occupational, and speech therapy services. Other terms for OPAP include precertification and __________ authorization.

Correct AnswerverifiedShow Answer

BCBS fee-for-service __________ coverage includes minimum benefits, such as inpatient hospitalizations and diagnostic laboratory services.

Correct AnswerverifiedShow Answer

BCBS indemnity coverage offers choice and flexibility to subscribers who want to receive a full range of benefits along with the __________.

Correct AnswerverifiedShow Answer

BlueShield plans were created as the result of a resolution passed by the House of Delegates at an American Medical Association meeting in 1938. This resolution supported the concept of __________ health insurance that would encourage physicians to cooperate with prepaid health care plans.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified