The Hanford Health Plan has delegated the credentialing of its providers to the Sienna Group, a credential verification organization (CVO) . If the contract between Hanford and Sienna complies with all of the National Committee for Quality Assurance (NCQA) guidelines for delegation of credentialing, then this contract
A) Transfers to Sienna all rights to terminate or suspend individual practitioners or providers in Hanford's provider network
B) Describes the process by which Hanford evaluates Sienna's performance in credentialing providers
C) Both A and B
D) A only
E) B only
F) Neither A nor B
Correct Answer:
Verified
Q29: The following statements are about various provisions
Q30: Arthur Dace, a plan member of the
Q31: There are several approaches to the interagency
Q32: States may impose nominal deductibles, coinsurance, or
Q33: The following statements are about market conduct
Q35: The following statements appear in the Twilight
Q36: TRICARE, a military healthcare program, offers eligible
Q37: The Opal Health Plan complies with all
Q38: One provision of the Mental Health Parity
Q39: SoundCare Health Services, an MCO, recently conducted
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