The BCBS PPO Plan Is Sometimes Described as a Subscriber-Driven

question 5

Multiple Choice

The BCBS PPO plan is sometimes described as a subscriber-driven program, and BCBS substitutes the term subscriber or __________ for policyholder.

• A) member
• B) patient
• C) payer
• D) provider

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Definitions:

Fiscally Dependent

A term referring to entities that rely on a higher level of government for financing, approval of budget, or financial decision-making authority.

Public Institution

An organization established by the government to serve the public’s interest, typically funded by public money.

Enterprise Fund

A fund used by a government to account for operations financed and operated in a manner similar to private business enterprises, where the intent is that the costs of providing goods or services to the public on a continuing basis be financed or recovered primarily through user charges.

GAAP

Generally Accepted Accounting Principles, a collection of commonly-followed accounting rules and standards for financial reporting.