The provider contracts that the Indigo Health Plan has with its providers include a clause which states that Indigo's denial of payment for a certain medical procedure does not constitute a medical opinion and is not intended to interfere with the provider-patient relationship. This information indicates that Indigo's provider contracts include:
A) A business confidentiality clause.
B) A scope of services clause.
C) An informed refusal clause.
D) An exculpation clause.

Question

Quizplus · Accepted Answer

The clause described in the question is an example of an exculpation or disclaimer clause. Such a clause serves to relieve Indigo of any liability for decisions related to denying payment for specific medical procedures while preserving the provider-patient relationship.

The Provider Contracts That the Indigo Health Plan Has with Its