Medical Insurance 7th Edition by Amy Blochowiak, Joanne Valerius, Nenna Bayes, Cynthia Newby

Exercise 5

In what section of a participation contract is each of the following phrases located?
A. Physician has accurately completed the Participating Physician Credentialing Application that accompanies this agreement and has been accepted by the Plan. Physician shall promptly notify Plan of any change in this information, including any change in its principal place of business, within seven days of such change.
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B. "Members" means enrollees or enrolled dependents covered by a Plan benefit agreement.
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C. Physician agrees to accept the Plan fee schedule or physician's billed charges, whichever is less, as payment in full for all medical services provided to members.
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D. Physician agrees to allow review and duplication of any data free of charge and other records maintained on members that relate to this agreement.
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E. Plan agrees to provide current identification cards for members.
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F. Plan shall deduct any copayments and deductible amounts required by the Plan benefit agreement from the allowed payment due to the Physician under this agreement.
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G. Plan intends, by entering into this agreement, to make available quality healthcare to Plan members by contracting with Physician. Physician intends to provide such care in a cost-effective manner.
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