A _____ provider is one who contracts with the insurer,agreeing to abide by certain rules and regulations of that carrier.
A) participating
B) nonparticipating
C) managed healthcare
D) fee-for-service

Question

Quizplus · Accepted Answer

A participating provider is one who has agreed to work with the insurer and adhere to their guidelines and regulations. This usually means that the provider will receive higher levels of reimbursement from the insurer and may be more attractive to patients who are covered by that particular carrier. In contrast, a nonparticipating provider is one who does not have any formal relationship with the insurer and may not receive the same level of reimbursement. Managed healthcare and fee-for-service are related concepts but not directly relevant to this question.

A _____ Provider Is One Who Contracts with the Insurer,agreeing