Mrs. Thomas was on vacation out of state when she stepped off a curve and injured her left ankle. Due to severe pain she was seen at an urgent care center where she underwent a left ankle x-ray, which was negative. She was diagnosed with a left sprained ankle. A walking boot was provided to stabilize and protect her left ankle. She was provided with appropriate discharge instructions and instructed to follow up with her primary care physician upon returning home. When she presented her BlueCross BlueShield insurance card at check out, Mrs. Thomas was informed that the physician who provided treatment is a nonparticipating provider (nonPAR) and that the urgent care center accepts credit cards for payment in full. The total due was $1,500, and Mrs. Thomas assured the office staff that her insurance company would reimburse the urgent care center for services provided. The office staff further explained that their providers had not signed a contract with her insurance, and thus Mrs. Thomas was required to settle the bill upon discharge. The office staff suggested that her Blue Cross/Blue Shield insurance plan might reimburse Mrs. Thomas for the urgent care center encounter and that she would need to submit the invoice and claim to her insurance company. What are the requirements of a BCBS participating provider (PAR)?

Answers

Answer 1

BlueCross BlueShield (BCBS) participating providers, also known as PAR providers, are health care providers who have signed a contract with BCBS to provide services to BCBS members. This means that they agree to accept the reimbursement rates and terms specified in the contract with BCBS, and BCBS members will typically pay less out-of-pocket for services received from PAR providers. Non-PAR providers, on the other hand, have not signed a contract with BCBS and may not be required to accept the same reimbursement rates and terms. As a result, BCBS members may have to pay more out-of-pocket for services received from non-PAR providers. It is important for BCBS members to check with their insurance plan to determine which providers are PAR and which are non-PAR, as this can affect their out-of-pocket costs for services received.


Related Questions

What are the effects of living in a healthy and clean environment?

Answers

Answer:

A lot of benefits,

Explanation:

1. Ur lungs open up more

2. Sometimes helps ur skin

3. Helps you with exorcise in some cases

4. Ur mental health when around friends or family gets better You feel more happy because of it too.

5. You can sometimes breathe easily.

What are the three types of information protection?

Answers

Answer:Everything

Explanation:

Some sports may be considered a "Team Sport" and/or an "Individual Sport";
meaning you may participate in an individual event or score points as an individual,
but your overall score is tabulated using everyone's points collectively as a team. (ex.
I run the 50 yard dash for Track & Field, my points earned will be added to the rest of
the team members' points earned for each of their events, like the hurdles, high
jump, shot-put, etc.- so we earn an overall score to place in the Track Meet. We may
win awards individually and as a team.)

Answers

Answer:

I believe that the answer is false.

Select the correct answer. Which two concepts explain how the body moves? a. Force and leverage b. Agility and leverage c. Force and balance d. Agility and balance.

Answers

Answer:

a. Force and leverage

Explanation:

The body uses force to move through tight spots like a crowded stadium. In addition, it uses leverage to carry heavy items like a TV to force movement with the TV.

What are the 5 mandatory requirements in labeling packaged food?

Answers

Ingredients is one of the five standards that must be included on food packaging labels.

-The amount of sodium, sugar, and fat.

-Serving sizes and calorie counts.

-Freshness.

-Organic.

-Name of distributor, packer, or maker.

What kind of information needs to be printed on food packaging?

Every country has requirements for the information that must be printed on food package labels. The following details typically need to be included on a label: the name of the product, the manufacturer's name and address, the net weight, the serving size, an ingredient list, and the nutrition facts per serving.

Which five meanings do packages have?

For packing, there are several uses. Among them are fulfillment of specific customer needs, protection, safety, enhanced use, enticing looks, optimal design, and safety.

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What publication is used as a basis?

Answers

The publication used as the basis for most state and local requirements is the Health and Human Services (HHS) website.

What is the role of health and social services?

The mission of the U.S. Department of Health and Human Services (HHS) is to improve the health of all Americans by providing effective health and human services and promoting sound and sustainable progress in the sciences underlying medicine and public health. and improve well-being.

What are the five divisions of the U.S. Department of Health and Human Services?

Administration for Community Living ACL). Administration for Strategic Preparedness and Response (ASPR). Administration for Children and Families (ACF). Agency for Healthcare Research and Quality (AHRQ). Health and Social Services Agencies and Boards. Agency for the Toxic Substances and Disease Registry (ATSDR).

What are the topic sites on the HHS website?

Vaccines and vaccinations. Nutrition and fitness. Medical checkup. Mental health and substance abuse. Environment and your health. Healthy lifestyle.

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Which scenarios describe ways to practice tsunami safety? select the three correct answers.

Answers

You experience an earthquake and immediately turn on your radio.You and your family practice your evacuation plan.You research disaster plans and warning systems in your area.

Identify the food safety concerns monitored and regulated by the fda. Safe cooking temperatures food allergens food handling foodborne illnesses natural toxins chemical and metal residues.

Answers

The food safety concerns monitored and regulated by the fda are Wash your slicing boards, dishes, forks, spoons, knives, and countertops with warm soapy water. Do this after operating with every meals item. Rinse culmination and veggies.

Do now no longer wash meat, poultry, fish, or eggs.We've focused on 5 forms of dangers that may have an effect on how contaminants can also additionally doubtlessly input into the processed meals: contact-floor dangers, overhead dangers, proximity dangers, ability switch dangers and environmental dangers.Food Safety at HomeClean.

Always wash your meals, arms, counters, and cooking tools. Wash arms in heat soapy water for as a minimum 20 seconds separate (Keep Apart) Keep uncooked meals to themselves. Germs can unfold from one meals to another Cook. Foods want to get warm and live warm, Chill. Put meals withinside the refrigerator proper away.

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Which of the following most likely influences your food choices?
A. Your culture
B. Your height
C. Your hair color
D. Your body composition

Answers

Answer:

a.your culture

Explanation:

each culture has there own dishes

Select the correct answer. Marc has started drinking whenever he is upset or stressed. When his friends ask him how much he drinks, he lies and makes excuses. He sees alcohol as an escape from his everyday problems. Which stage of alcoholism is marc most likely in? a. Problem drinking b. Dependence c. Last stage.

Answers

Answer: The correct answer is A.

Answer:

Problem drinking

Will my belly overhang go away?

Answers

An apron belly cannot be spot treated. One can only be reduced through overall weight loss and surgical and non-surgical procedures.

How long does it take to get rid of a hanging stomach?

The best way to lose belly fat and have a flat tummy is to create a calorie deficit by eating less and exercising more for at least 6 to 12 weeks. You need to adhere to your food and exercise routine over that time with greater rigor and consistency if your abdominal fat is particularly resistant to change.

What causes a belly that hangs over?

You might have too much skin, fat, and tissue hanging down from your abdomen as a result of pregnancy, weight loss, or weight increase.

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What is the relationship between cardiovascular health and endurance exercise?

Answers

Cardiovascular endurance, cardiorespiratory endurance, or aerobic fitness refers to the ability of the heart and lungs to provide oxygen to the body's tissues while participating in extended physical activity.

The difference between strength and Cardiovascular endurance is how long you can go at a given intensity. If you want to gain more strength, perform an exercise with a heavier weight for fewer reps maybe five to eight. Strength and stamina are the answer. Of course, both qualities are essential, but endurance requires strength. Strength does not require endurance. Stamina is the amount of time a muscle or set of muscles can function at or near their maximum capacity as opposed to endurance, which refers to how long a muscle group can perform a certain exercise.

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What important information are found in labels of health products?

Answers

A description of the cuisine. This must accurately reflect your goods and not be false or deceptive.

What are product labels ?

You may choose foods wisely by reading labels. There is a lot of nutrition and food safety information on the labels and packaging of packaged foods and drinks, including those that are sold in cans, boxes, bottles, jars, and bags.

Being sceptical of the advertising is crucial for developing into an effective customer.

Being critical of the advertising for many of the available health and/or fitness products and services is a crucial part of learning how to be an effective consumer. People must be able to distinguish between commercials that make claims based on complete or erroneous information and those that do so based on facts and research.

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Diseases to which resistance is a significant issue include: _______

a. TB
b. Gonorrhea
c. Malaria

Answers

Diseases to which resistance is a significant issue include TB, Gonorrhea, Malaria.

What is drug resistance?

Drug resistance is the decline in a medication's ability to effectively treat a condition or illness, such as an infection or cancer. When referring to resistance that viruses or malignancies have "acquired," that is, when resistance has evolved, the word is utilized. Research is sparked by the challenges posed by antimicrobial and anti-cancer resistance. A substance is said to as multidrug-resistant if it is resistant to many medications.

Because antibiotics exclusively target particular bacterial compounds, they have a particular role in the development of antibiotic resistance (almost always proteins). A mutation in these molecules will interfere with or nullify the drug's destructive impact since it is so specialized, leading to antibiotic resistance.

Therefore, all the options are correct

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What part of the brain is affected by opioid use?

Answers

The midbrain's mesolimbic reward system is among the neural circuits that opioids stimulate. In a region of the brain known as the ventral tegmental area, this system produces signals (VTA)

What do brain circuits consist of?

Typically, a circuit refers to a group of connected parts that work together to perform a single task. In the brain, a neural circuit may be a group of neurons that collects electrochemical data, modifies it, and then sends it onto other circuits for additional modification.

Why do brain circuits function the way they do?

Circuits are thus formed by connecting neurons. In our brains, there are 86 billion neurons that are interconnected; each neuron has roughly 10,000 connections and inputs. Thus, the circuit is indeed the route that electrical activity takes as it travels through one nerve cell to another, to another, and so forth.

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By _______ months of age, around 50 percent of babies can usually sit up unsupported.
A.6
B.2
C.8
D.4

Answers

Answer:

A. 6 months on average

Explanation:

Although some can sit up by four months, most babies take longer to develop the strength and muscles needed to support themselves; thus the answer is six months on average.

For a client with graves' disease, which nursing intervention promotes comfort?

Answers

For a client with graves' disease, maintaining room temperature in the low-normal range is the nursing intervention promotes comfort.

Graves' disease is an immune system disorder that ends up in the overrun of thyroid hormones (hyperthyroidism). Though variety of disorders might lead to glandular disorder, exophthalmos could be a common cause. Thyroid hormones have an effect on several body systems, therefore signs and symptoms of exophthalmos is wide move.

The average room temperature is often around 20°C, or sixty eight degrees physicist. This is often a decent close temperature to aim for. Heat intolerance and accrued sweating are normal for a client with graves' disease and accrued appetency, despite having weight loss.

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A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent?
A. A 17-year-old client who lives with friends
B. A 50-year-old client who has a blood alcohol level of 80 mg/dL
C. A 35-year-old client who has major depressive disorder
D. A 65-year-old client who just received a dose of morphine

Answers

a customer, 35, with serious depression disorder

Cognitive behavioral therapy (CBT), interpersonal psychotherapy, & supportive therapy are three popular forms of psychotherapy for the treatment of severe depression and generalized anxiety disorder. medical care for large depression we advise a mix of antidepressant therapy and medication for the initial management of serious depression. Combination therapy is more beneficial than either therapy alone, according to well-designed research. a customer, 35, with serious depression disorder.Help your loved one or friend remind them to take prescription medicine and also to attend appointments if they are receiving treatment for depression. Be ready to pay attention. Tell your loved one that you're interested in learning about his or her feelings.

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How do planks slim your waist?

Answers

A great tool for this is a plank. The plank works all of the abdominal muscles, as opposed to crunches or standard sit-ups, as well as the back, arm, and upper leg muscles.

Do planks help with belly fat loss?

Planks are the best exercise for burning belly fat because they stimulate a variety of muscles at once, boosting metabolism and fortifying the core. Overall, planking is a terrific option for energizing the body as a whole. The plank is a great exercise for facilitating the whole body.

Can you lose weight just by doing planks?

Actually, a full-body workout may be achieved by simply performing various plank variations. The workout that follows uses five different plank variations to work various body parts.

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How does stretching make you more flexible?

Answers

Stretching increases the amount of force applied to the muscle at a larger level of extension, which signals to the nervous system that the muscle is capable of being safe and powerful at that level of extension. This  makes muscle more flexible.

What is Stretching ?

Stretching is a type of physical activity in which a particular muscle, tendon, or muscle group is purposefully flexed or stretched in order to increase the muscle's perceived flexibility and achieve a comfortable level of muscular tone.

Increased muscle control, flexibility, and range of motion are the effects. Stretching is additionally applied medically to relieve cramps and enhance daily function by extending range of motion.

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Which of the following statement best describe the concept of Medical Model of Health?

a. Medically biased definitions focusing on the absence of disease or disability.
b. Influenced by scientific knowledge and lay understandings.
c. Emphasizes collective, social responsibility for health.
d. None of the above.

Answers

The statement that best describes the concept of Medical Model of Health is that it is Influenced by scientific knowledge and lay understandings. That is option B.

What is concept of Medical Model of Health?

The concept of Medical Model of Health is defined as the model of health which suggests that disease is detected and identified through a systematic process.

The scientific process involves observation, description, and differentiation, in accordance with standard accepted procedures.

Therefore the statement that is correct is that the concept is influenced by scientific knowledge and lay understandings.

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Where should you store raw fish in a freezer?

Answers

Fish can be frozen stored by placing it in a freezer container or by wrapping it in heavy foil. Only two to three days worth of raw or undercooked fish can be kept in the fridge.

Fish must be identified, wrapped, and frozen in freezer bags or paper that resists moisture vapor. A shallow metal, foil, or plastic pan should be used to place the fish, and water should be added to the pan before freezing. In order to stop the ice from evaporating, wrap the container in freezer paper once it has frozen.

The process of converting a liquid or solid into a vapor is known as evaporation, which is a type of vaporization. Evaporation results from the dissolution of the bonds holding the water molecules together as a result of heat energy.

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which exercise routine should someone follow for the first few days after recovering from an illness with symptoms that included vomiting, diarrhea, and fever?

Answers

Starting with isometric workouts is one of the safest methods to wake up your muscles after an illness.

Isometric exercises are performed with your body absolutely still so that you do not move through huge ranges of motion. They can be performed with practically every muscle in the body and may be performed anyplace.

After your fever has subsided, you should rest for at least a few days before returning to activity. Dr. Cardone advises staying hydrated, eating a balanced diet, and avoiding overexertion at this period.

Light to moderate exercise may help improve the immune system to avoid illness, and it may also assist promote circulation to alleviate certain symptoms of a head cold when someone is already sick.

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How do we benefit from smiling socially?

Answers

Smiling socially can benefit us by making us appear more approachable and friendly.

Define Smiling.

Smiling is the expression of happiness through the curving of the lips and the showing of the teeth. It can also be used to express amusement, pleasure, friendly greeting, or other positive emotions.

It can also make us appear more confident and can help to break the ice when meeting someone new. Smiling can also make us appear more attractive and can help us to make a good first impression on those around us. Additionally, it can help to reduce stress, boost our moods, and can even have positive effects on our physical health.

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How can I increase my flexibility in one day?

Answers

It is preferable to combine breath work, static stretching, and dynamic stretching if you want to increase your total flexibility. You can further increase your flexibility and mobility by adding weight exercise.

.

what is flexibility ?

Your joints' range of motion and ease of movement are referred to as mobility. Flexibility is the capacity of your muscles and other connective tissues to momentarily stretch.

A joint or group of joints' flexibility refers to their capacity to move freely and painlessly. Although everyone has different ranges of flexibility, they must all be maintained in order to protect the wellbeing of joints and the entire body.

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Where should you take the temperature of tomato basil soup in the center?

Answers

The temperature of tomato basil soup depends on the condition where it may get stored.

Tomato basil soup is an excellent source of antioxidants, including lycopene, flavonoids, and vitamins C and E. It helps in lowering the threat of cancer and inflammation- related conditions, similar as obesity and heart disease

Tomato basil soup still remains fresh because the lower the temperature, the lower the chances of microbes growing, If tomato basil soup is kept in the refrigerator for 3- 5 days. While if tomato soup is kept at a advanced temperature, under direct sun it can't be saved longer. The high situations of antioxidants in tomato haze reduce oxidative stress and habitual inflammation.

thus, The temperature of tomato basil haze depends on the condition where it may get stored.

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Which storage practice can cause cross contamination?

Answers

Cross-contamination can happen when unwashed or improperly sterilized containers are used to store food, or when raw food is allowed to touch, drip, or sit on prepared or ready-to-eat food (like lettuce).

Which 3 instances of contamination are they?

the following are the three categories of contaminants: Toxins from plants, mushrooms, etc shellfish are biological examples, as are bacteria, virus, parasites, fungi, and toxins. Physical things like dirt, shards of glass, iron staples, and bones are a few examples of them. Examples of chemicals are polishes, sanitizers, and cleaners.

What dangers exist with regard to contamination?

Cross-contamination is hazardous because it frequently results in food poisoning, a sickness brought on by ingesting harmful germs like e. coli And salmonella. Everyone has a duty to keep the kitchen free from cross-contamination.

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Condoms are least effective against the spread of

Answers

Condoms are least effective against the spread of herpes.

The only method of birth control that works to stop sexually transmitted illnesses is the condom. However, condoms don't shield you against all STIs, including those that may spread through skin-to-skin contact like herpes, genital warts, syphilis, and monkeypox. Condoms won't always protect you from herpes since herpes can exist on parts of your body (such as the scrotum, butt cheeks, upper thighs, and labia) that aren't covered by them. However, they do reduce your risk of contracting herpes.

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PLS HELP WILL GIVE BRAINIEST!!!

Answers

Answer:

C. Arteries!

Explanation:

The answer is in the question!

"on artery walls"

Atherosclerosis is the  thickening or hardening of the arteries caused by a buildup of plaque in the inner lining of an artery

Answer:

the answer is c

Atherosclerosis is the buildup of fats, cholesterol and other substances in and on the artery walls. This buildup is called plaque. The plaque can cause arteries to narrow, blocking blood flow. The plaque can also burst, leading to a blood clot.

What are the three measures used to determine the quality of healthcare?

Answers

A structure, process, or outcome measure are the three measures used to determine the quality of healthcare.

satisfactory measures are tools that help us degree or quantify healthcare processes, effects, affected person perceptions, and organizational structure and/or structures which can be associated with the potential to provide.

The metric system is the primary measurement system, used within the medical area. Healthcare professionals ought to have the ability to transform devices of measurement, within and among the metric system and the us customary system.

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