CPB Certified Professional Biller Certification Practice Exam

What is the purpose of the BlueCard Program?

1. A program that allows BCBS subscribers to receive local benefits while traveling

2. A system for tracking Blue Cross Blue Shield insurance claims

3. A method for processing nonpublished code edits

4. A program that discounts healthcare services across all plans

The correct answer is: A program that allows BCBS subscribers to receive local benefits while traveling

The purpose of the BlueCard Program is to facilitate the provision of health benefits for Blue Cross Blue Shield (BCBS) subscribers who are traveling outside their home area. This program enables these subscribers to access in-network healthcare services and receive local benefits while they are away from their home state. Essentially, it allows individuals with BCBS insurance to obtain necessary medical care without facing out-of-network rates, ensuring that they can receive treatment seamlessly, no matter where they are in the U.S. The other options do not accurately describe the core function of the BlueCard Program. Tracking insurance claims pertains to administrative processes that are not specific to the BlueCard framework. Nonpublished code edits are related to the coding and billing practices specific to claims processing, and the discount program for healthcare services does not encapsulate the intended purpose of the BlueCard initiative. Thus, the correct answer emphasizes the program’s role in providing accessible and equitable health benefits for BCBS subscribers traveling away from their home regions.