Under a managed care contract with a capitation reimbursement method, the provider is paid a PMPM fee for each enrolled member regardless of services provided.
Correct Answer:
Verified
Q61: EOB notifications are issued in the same
Q62: A patient's out-of-pocket expenses include deductibles, coinsurance,
Q63: _ is the act of processing a
Q64: A(n) _ claim is one that has
Q65: Medical necessity reduction by an insurance carrier
Q67: The benefit payment information on an EOB
Q68: Match the following
-Code shown on an explanation
Q69: A provider is paid a per-member-per-month (PMPM)
Q70: The amount of time it takes for
Q71: Monies owed to a provider by insurance
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents