Question

instructions: select the most appropriate response.
in a bcbs ppo plan, the ________ is responsible for remaining within the ppo network and must request referrals to ppo specialists whenever possible.
a. payer
b. member
c. contractor
d. provider

Explanation:

In a BCBS PPO plan, the member is responsible for remaining within the PPO network and must request referrals to PPO specialists whenever possible. This is a key aspect of PPO plan structures where the member has certain responsibilities regarding network usage and referrals.

Answer:

b. member