Oversight of the Insurance Industry
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 |
| Author | : | |
| Publisher | : | - 1995 |
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