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Blue CrossBlue Shield Plans
Hovv Claims Are Processed by Insurance Carriers 1
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accept assignment allowed amount anesthesia BC/BS beneficiaries benefits billing Blue Cross Blue Shield CHAMPUS CHAMPVA charge claim form clinical co-insurance co-payment coding system contract conversion factor cost covered CPT codes Cross and Blue DD YY deductible diagnosis diagnosis codes digit durable medical equipment E/M services eligible employer encounter form enrolled example federal fee schedule fee-for-service guidelines HCFA HCPCS health insurance health maintenance organizations health plan hospital ICD-9-CM codes identify insurance carrier insurance claim forms insurance company insurance plan INSURED'S Itern managed care plans Medicaid Medicaid programs Medicare Medigap organization outpatient paid paper claims participating percent performed postoperative practice practice's preferred provider organizations primary insurance Private Plans procedure code(s provider-sponsored organizations RBRVS reimbursement responsible services provided Shield plans signature staff submitted surgery surgical third-party payers TRICARE verified