The following statements are about the responsibilities that providers are expected to assume under most provider contracts with health plans. Select the answer choice containing the correct statement.
A) All health plans now include in their provider contracts a statement that explicitly places responsibility for the medical care of plan members on the health plan rather than on the provider.
B) According to the wording of most provider contracts, the responsibility of providers to deliver medical services to a plan member is not contingent upon the provider's receipt of information regarding the member's eligibility for these services.
C) Most health plans include in their provider contracts a clause which requires providers to maintain open communication with plan members regarding appropriate treatment plans, even if the services are not covered by the member's health plan.
D) Most provider contracts require participating providers to discuss health plan payment arrangements with patients who are covered by the plan.
Correct Answer:
Verified
Q26: During the credentialing process, a health plan
Q27: The provider contract that Dr. Huang Kwan
Q28: In open panel contracting, there are several
Q29: Health plan contract negotiations with an integrated
Q30: The NPDB specifies the entities that are
Q32: Determine whether the following statement is true
Q33: The following statement(s) can correctly be made
Q34: The Justice Health Plan is eligible to
Q35: From the following answer choices, choose the
Q36: The provider contract between the Ocelot Health
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