The contract issued by a payer, the plan document, or any other legally enforceable instrument under which a covered person may be entitled to covered services is called:

Question

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The benefit plan is the contract or legally enforceable instrument that outlines what services are covered for a covered person. The schedule of benefits outlines the specific covered services and the amount the payer will pay for each service. Covered services refer to the actual medical services or procedures that are covered under the plan. Contracted services refers to the services provided by a healthcare provider who has a contractual agreement with the payer to provide services to covered persons.

The Contract Issued by a Payer, the Plan Document, or Any