One true statement about the responsibilities of providers under typical provider contracts is that most provider contracts:
A) include a clause which states that providers must maintain open communications with patients regarding appropriate treatment plans, unless the services are not covered by the member's health plan
B) hold that the responsibility of the provider to deliver services is usually subject to the provider's receipt of information regarding the eligibility of the member
C) contain a gag clause or a gag rule
D) include a clause that explicitly places the responsibility for medical care on the health plan rather than on the provider of medical services

Question

Quizplus · Accepted Answer

Providers are typically required to verify a member's eligibility before delivering services, as their responsibility to provide services is contingent on this information.

One True Statement About the Responsibilities of Providers Under Typical