If a patient has an out of state Blue Cross and Blue Shield plan, where would you send claim?

A:  Local Blue Cross and Blue Shield.

If a patient has Medicare and Blue Cross and Blue Shield and is working for a company with more than 15 employees, which insurance would be primary?

A: Blue Cross and Blue Shield

If a patient has Medicare and Blue Cross and Blue Shield and is retired, which insurance would be primary?

A: Medicare

To what code would you attach the 25 modifier?

A: Office Visit

If an Office visit and a procedure is billed on the same day by the same provider, but is distinctively different, what modifier would you use?

A: 25

Which Medicare pays medical providers for healthcare services? Part A or B?

A: Part B

What is the purpose of a superbill?

A: A superbill contains the procedures and diagnosis for a patient’s medical visit. The biller uses this information to submit a claim to the proper insurance payer.