Which answer correctly lists the main methods(s) payers use to pay providers?
A) allowed charges
B) allowed charges, contracted fee schedule, and capitation
C) contracted fee schedule and capitation
D) capitation and retrospective payments
Correct Answer:
Verified
Q43: What summarizes the services and charges for
Q44: All of the following procedures are completed
Q45: What is the tool for calculating charges
Q46: To estimate charges the patient will pay,
Q47: What might a health plan require if
Q49: If the provider's charge is lower than
Q50: The deductibles, coinsurance, and copayments patients pay
Q51: An option in an HMO that allows
Q52: If a participating provider's usual charge is
Q53: Before the payer begins to pay benefits,
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