MOM BCBS insurance notecards

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Author:
Anonymous
ID:
209691
Filename:
MOM BCBS insurance notecards
Updated:
2013-03-26 17:50:40
Tags:
MOM BCBS
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Description:
MOM BCBS insurance notecards
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The flashcards below were created by user Anonymous on FreezingBlue Flashcards. What would you like to do?


  1. Prepaid medical plan:
    • people pay in advance for health services they may
    • need
  2. UR--utilization review:
    • a group of local physicians get together to examine
    • possible misuse of BS benefits by their peer physicians
  3. Participating Physician (PAR)
  4. Physicians who enter into a contract agreement with the Blues and agree to accept payment based on the UCR as payment in full
  5. Non participating doctor (NON PAR):
    • provider who has not signed an agreement with BCBS
    • *This physician can collect entire bill from patient
    • *Check goes to patient, though.
  6. What does a basic insurance plan cover? (7)
    Hospitalization, diagnostic lab and x-ray, surgery fees, assistant surgeon fees, OB and newborn care, intensive care, chemo for cancer
  7. What does major medical cover?

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