| Things that have nothing to do with Blue Cross | ITS Rejections | Pay Code and Defintions | Who you gonna call? | BlueCard Worldwide Network |
|---|---|---|---|---|
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What is 5280
How many feet are in a mile?
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What is Pay code 0
Definition - Payment went to the provider, payment was sent by BCBS of AL
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What is False
We should contact the host plan's providers? True or False
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What is True
Claims are paid based on billed charges. - True or False
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What Is Member has filed claim directly to Alabama (home plan) instead of host plan
9IW Definition of this rejection code.
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What is 9IA
Provider has filed claim directly to Alabama instead of the local BCBS plan - Name this rejection code
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What is The plan in which the member is enrolled.
Define Home Plan
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What is True
True or False - The home plan should deal with the subscriber or host plan?
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What is Physician
The facility can include _________ charges on the facility claim and at the same rate of reimbursement.
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Who is Joey, Chandler, Phoebe, Ross, Rachel, Monica
Name 6 of the main characters from Friends
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What is Medical records needed. A request is sent to the host plan to order the records from the provider of service
951 Definition of this rejection code.
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What is Host Plan
Definition - The plan where the services were provided.
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What is provider(s)
BCBS of AL has a _______ area where out of state _______ can call us
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What is False
True or False - PAC Is Required.
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Who Is Jordin Sparks
Who won season 6 of American Idol?
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What is 9Y1
ITS claim has been submitted under the incorrect alpha prefix - Name this rejection code
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What is Pay Code 3
Definition - payment went to the provider, payment was sent by the local plan.
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What is BlueCard program
According to the _______, providers should deal with their local Blue Cross and Blue Shield (the host plan).
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What is BlueCard Program
The ________________ allows members access to participating (PPO) providers and provider savings nationally. This program allows coverage for patients that might be traveling or do not reside in the state where the Home plan is located.
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What is All That, Doug, Rugrats, Clarissa Explains It All Kenan & Kel, Hey Arnold!, Rocko's Modern Life
The Ren & Stimpy Show, Salute Your Shorts Are You Afraid of the Dark, The Adventures of Pete & Pete, The Secret World of Alex Mack
Name 5 out of 17 90's nickelodeon shows
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What is Provider contracts with HOME & HOST plan. The ITS claim will be closed out & BCBS AL will process locally with BCBS AL provider number
9Y2 Definition of this rejection code.
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What is payment went to subscriber, payment was sent by BCBS of AL
Define Pay code 1
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What is This is used to communicate between the Home and Host plans.
Define what "sirf" is used for.
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www.bluecardworldwide.com
On what website can you find the facilities in our network
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Sorcerors Stone, Chamber of Secrets, Prisoner of Azkabam, Goblet of Fire, Half Blood Prince, Order of the Phoenix, Deathly Hallows
Name all the Harry Potter Books/Movies
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