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
Q41: What summarizes the services and charges for
Q42: All of the following procedures are completed
Q43: What is the tool for calculating charges
Q44: To estimate charges the patient will pay,
Q45: What might a health plan require if
Q47: The deductibles, coinsurance, and copayments patients pay
Q48: An option in an HMO that allows
Q49: If a participating provider's usual charge is
Q50: Before the payer begins to pay benefits,
Q51: Under most managed care plans, what must
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