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BCBS

Total questions: 8

Worksheet time: 4mins

Name
Class
Date
1.

When searching for a BCBS coverage in EPIC, always search using the prefix. T/F.

a)

True

b)

False

2.

What is the correct payor/plan for the following insurance that has a prefix that cannot be found in EPIC?

a)

BLUECARD OUT OF STATE/ BLUECARD INCLUDES OUT OF STATE BCBS

b)

HIGHMARK BLUE SHIELD/ HIGHMARK BLUE SHIELD

c)

KEYSTONE/ KEYSTONE HEALTH PLAN CENTRAL

d)

CAPITAL BLUE CROSS/ CAPITAL BLUE CROSS

3.

What should be entered in the Subscriber ID field in EPIC for a BCBS coverage? Select ALL that apply.

a)

Prefix

b)

Patients DOB

c)

Insurance ID numbers

d)

Subscriber's SSN

4.

What is the correct payor/plan for the following insurance that has a prefix that cannot be found in EPIC?

a)

HIGHMARK BLUE SHIELD/HIGHMARK BLUE SHIELD

b)

BLUECARD OUT OF STATE/ BLUECARD INCLUDES OUT OF STATE BCBS

c)

CAPITAL BLUE CROSS/ CAPITAL BLUE CROSS

d)

COMMERCIAL GENERIC/ COMMERCIAL GENERIC

5.

A patient hands you the following insurance card. What is the easiest way to find the correct payor/plan in EPIC?

a)

Use "R" prefix

b)

Use "FEP" prefix

c)

Search with "Caremark"

d)

Search with "BCBS"

6.

A patient hands you the following insurance card. What payor/plan(s) must be registered? Select ALL that apply.

a)

NYSHIP/ PB NYSHIP

b)

NYSHIP/ HB NYSHIP

c)

NYSHIP/ NYSHIP

d)

BLUECARD OUT OF STATE/ ANTHEM BCBS

7.

What tool can be used for a prefix that cannot be found in EPIC?

a)

Generic Payor/Plan Grid

b)

Cigna Review Sheet

c)

Commercial Payor Grid

d)

Highmark Insurance Grid

8.

A child presents for services and is covered under both mom and dad's insurance policies. Dad's DOB is 03/10/1979 and Mom's DOB is 11/02/1978. Whose insurance policy should be listed as the primary coverage?

a)

Mom's

b)

Dad's