Oversight of the Insurance Industry

Oversight of the Insurance Industry

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As I mentioned earlier, all participating BCBS plans process Service Benefit Plan claims. ... We use the FEHBP contract, the Service Benefit Plan brochure, and the Associationa#39;s FEP administrative manual to ... Supporting documentation includes hard- copy claims, explanation of benefits, provider remittances, and medical records. ... Our objective is to determine whether a plana#39;s policies and procedures result in compliance with applicable Federal regulations and the contract.

Title:Oversight of the Insurance Industry
Publisher: - 1995

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