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Major Medical Teaser!

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Major Medical Teaser!

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Created by

Melissa
Melissa
United States

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Major Medical Teaser!
 

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Major Medical Teaser!Online version

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by Melissa
1

A patient has a BlueCross BlueShield policy with the prefix of GEE ; they currently see a provider with a registered zip code of 30034 . The patient's Home policy is and a local policy of .

2

A patient has a BlueCross BlueShield policy with the prefix of GEE ; they currently see a provider with a registered zip code of 30034 . The patient's Home policy is and a local policy of .

3

The prefix YTR brings up the Home plan which is . If they see a provider with a registered zip code of 46104 , the Local plan is Blue .

4

The prefix on the patient's policy number dictates the plan of the Blue Cross Blue Shield policy while the registered zip code dictates the Plan .

5

A patient has a prefix of YFG and the provider's registered zip code is 89431 . The Home plan is Anthem Blue Cross Blue Shield of Nevada . The Local Plan is Anthem Blue Cross Blue Shield of Nevada . Does Blue Card Billing Apply ?

6

A patient has a policy number as D3G123W56782 . What is the prefix ? Which BlueCross BlueShield plan is this ?

7

A doctor's registered zip code is 66050 . The plan this brings up is of . Are we contracted to bill medically with this plan ?

8

If we are In Network with a patient's Home policy but Out of Network with the Local policy , are we still able to bill ?

9

If we are out of network with a patient's Home Policy , but In Network with the Local Policy , are we able to bill ?

10

When determining benefits , we will need to contact the for benefit and eligibility information .

11

When blue card billing - we will need to use the dispensing pharmacy located in the payor file .

12

AAA ?
AID ?
ANE ?
CCC ?
CYF ?
FRT ?
HAE ?
HCV ?
HGD ?
HHH ?
HMP ?
IIG ?
III ?
LPD ?
LSD ?
MMM ?
NNN ?
OSA ?
OTH ?
PAH ?
RSV ?
SSS ?
TTT -

 
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