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A Provider Group Purchased from an Insurer Individual Stop-Loss Coverage

Question 188

Multiple Choice

A provider group purchased from an insurer individual stop-loss coverage for primary and specialty care services with an $8,000 attachment point and 10% coinsurance. If the group's accrued cost for the primary and specialty care treatment of one patient is $10,000, then the amount that the insurer would be responsible for reimbursing the provider group for these costs is:


A) $200
B) $1,000
C) $1,800
D) $9,000

Correct Answer:

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