Employee benefits survey. Health coding manual
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1-3 appropriate spaces 20 Covered subject 21 maximums Covered 25 Not determinable 25 Remarks 26 Not applicable 27 Action code Action code 28 and/or 21 maximums applicable 25 Action applicable Action code applicable No coverage Basic Benefits 22 basic hospital benefit Benefits 22 Covered Blue Cross/Blue Shield category of expenses Check 1-3 appropriate Check appropriate 1-3 Check appropriate spaces check Remarks coinsurance Commercial insurance carrier coverage of charges coverage of extended coverage of hospital Covered in full Covered under Basic Covered under Major Cross/Blue Shield 21 customary charges Describe coverage determinable 26 determinable Not applicable Employee pays flexible spending account full usual funding media provide Health Maintenance Organization hospital confinement Hospital Miscellaneous Labor/Management includes union Major Medical 23 major medical benefit outpatient Private Duty Nursing QUESTION 280 Remarks 26 Remarks Not determinable Round to nearest set of questions SKIP TO QUESTION subject to deductibles surgical schedule union or employer