Wild and crazy Wanda’s health insurance policy number (found on Wanda’s health insurance ID card) reflects: 39-03-9999-SUB; When entering Wanda’s policy number on the claim, it should look like:

Medigap:

Providers can bill BCBS up to a ____ window from the date services were rendered

TRUE or FALSE: When a claim is in a “pended” status, the provider must submit a formal appeal in an attempt to get the claim paid

TRUE or FALSE: There are certain, special circumstances that make a person eligible for Medicare BEFORE they are 65 years of age

The patient receives an annual well check-up. The physician charges 80- fee schedule. The Payer reimburses the physician at 90% of the $80- fee schedule. What does the patient owe the physician?

Explain when the CMS-1500 Claim should be utilized for reimbursement

When entering the patient’s name in BLOCK 2, separate the last name and first name with:

How do accreditation organizations use the health record?

When the reserve requirement is decreased, the excess reserves of member banks are _____.