BCBS and ITS Claims

This is when we respond back to the Host Plan and apply the Benefits to the Claim

• RF

• DF

• LF

• SF

When it comes to ITS Claims, We are able to reach out to the providers directly if we need to

• True

• False

When it comes to ITS Claim we are Considered the......

• Home Plan

• Host Plan

• Main Plan

• Other Health Insurance Plan

How Many Anthem Direct States are there?

• 26

• 18

• 14

• 33

This is when the Original Claim is Submitted to us Via the Blue Squared System

• DF

• RF

• SF

• LF

Based on this Claim Image, Is this an ITS Claim or an Anthem Direct Claim

• ITS

• Anthem Direct

I am able to do a 3 way call with Plan to Plan

• True

• False

This is the Final Stage of ITS Claim Processing, This is where the Host Plan Pays the Provider if needed and the Home Plan sends the Member an EOB

• RF

• SF

• DF

• AF

The system we use to Communicate with other Blue Squared States is called what?

• Solution Central

• Blues Clues

• Blue Squared

• WCF

This type of Code lets us know what Procedure the member is having done

• CPT Code

• Diagnosis Code

• Modifier Code

• Revenue Code