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Week 7

Create a thoughtful illustration of a healthcare professional on the phone, providing information about health insurance coverage, set in a modern office environment, with elements symbolizing health (like a stethoscope, charts, and a computer) around them.

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

5 Questions1 MinutesCreated by HelpfulGuide254

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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