With EPOs all of the following are true except:
A) patients must select their care providers from those in the network.
B) patients may choose their physician or hospital.
C) if the patient chooses to go outside the network the services are not covered.
D) they are regulated by state insurance law.
Correct Answer:
Verified
Q1: The amount paid to a provider monthly
Q2: Determining who is responsible for health claim
Q4: The _ calculates risk and helps set
Q5: This organization negotiates and manages provider's contracts.
A)
Q6: Premiums are the:
A) portion of services paid
Q7: All of the following are true except:
A)
Q8: A third-party payer may be:
A) an insurance
Q9: A policy is:
A) a binding contract between
Q10: A PPO:
A) is a delivery network.
B) does
Q11: John is known as a(n) _ in
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