Qualifications Profile • Versatile and enthusiastic; quickly adapt to new roles‚ responsibilities‚ tasks‚ technologies/software and environments. • Over a decade of customer service and support experience complimented by exemplary organizational‚ interpersonal‚ analytical and communication skills. • Superior multi-tasking capabilities; gracefully balance competing demands and priorities. • Critically analyze‚ devise‚ and execute administrative‚ technical‚ and operational procedures
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• Question 1 4 out of 4 points BCBS fee-for-service is also known as traditional coverage. Selected Answer: True Correct Answer: True • Question 2 4 out of 4 points A patient cannot be asked to pay a nonPAR in full on the day of service. Selected Answer: False Correct Answer: False Response Feedback: The correct answer is a patient may be asked to pay a nonPAR in full at the time of service. • Question 3 4 out of 4 points A participating
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analytic models are based on neural network technologies. What is the role of neural networks in predictive analytics? How can neural networks help predict the likelihood of future events. In answering these questions‚ specifically reference Blue Cross Blue Shield of Tennessee? Predictive analytics can be helped with neural networks when there is a very large quantity of information available for examination. Neural networks examine literally thousands of bits of information to find relationships
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alleged complaint that the IPA organized collective refused to deal with two health plans‚ Blue cross Blue Shield and United Health Care of Texas‚ terminated the contract with Blue Cross Blue Shield and threatened to terminate contracts with the United Health Care of Texas if the payer refuse to agree with their demand of raising reimbursement rate. As per demand‚ both plans increased their rates. Blue Cross accepted a rate agreement with the respondents in early 1998 after facing problems getting
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While debate continues on both the success and the future of managed care‚ one cannot deny the increased emphasis on cost containment. The results of managed care and the continuing evolution of the American health care system are both quantitative and qualitative. They range from a reduction in hospital admissions and stays to an increase in ambulatory care‚ out-patient surgeries‚ and home care from an emphasis on prevention and better decisions by consumers about health-related behaviors to the
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health care. Blue Cross also saw the benefits of the prepaid medical care that it started their own in 1929. Blue Cross started by offering teachers a 21 day stay at Baylor University health care facilities. This was successful that they then expanded the offer to other Dallas employee groups. Then in 1982 Blue Cross merged with Blue Shield. This was beneficial because Blue Shield focused on physician care and Blue Cross focused on hospital care. The merging of Blue Cross Blue Shield made for an
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Cited: Blue Cross Blue Shield Association. Changing Care Delivery Models‚ November 2010. Halvorson‚ George. Health Care Reform Now‚ 2007‚ pp. 173-218. HPAM-GP 1830‚ NYU Wagner. Introduction to Health Policy and Management‚ Providers and Organization of Care‚ 2012 Instamed
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University of Phoenix Material Insurance Matrix Directions – Matrix For each type of insurance listed in the matrix‚ identity three functions‚ three coverage characteristics‚ and three companies that offer this type of insurance. |Type of Insurance |Functions |Coverage Characteristics |Companies That Offer It | |Auto |Protect the owner of the vehicle
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at the end of this month for health providers that the employees can learn about and make their decision based on what is best for them. The current health plan only has one provider which is Blue Cross Blue Shield. We will now offer two other providers along with Blue Cross Blue Shield which are Anthem Blue and Aflac. What is Open Enrollment? “Open Enrollment is the period of time employers set up to allow employees to choose from the plans available to them. Usually open enrollment covers insurance
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org/wiki/List_of_companies_based_in_Minneapolis%E2%80%93Saint... 7/12/2013 List of companies based in Minneapolis–Saint Paul - Wikipedia‚ the free encyclopedia Page 2 of 3 ■ RSM McGladrey ■ The Toro Company (Fortune 1000 #936) ■ Thermo King Eagan ■ Blue Cross Blue Shield of Minnesota ■ Buffets‚ Inc. ■ Thomson ReutersPreviously known as Thomson West (West Publishing headquarters) Edina ■ ■ ■ ■ Alliant Techsystems Inc. (Fortune 1000 #539) Dairy Queen - A unit of Berkshire Hathaway Nash Finch Company (Fortune
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