A percentage of a providers' payment that is NOT paid during a contract year but is kept by the health plan to offset additional costs incurred for referrals, hospital admissions, or other covered services is called a:
disincentive.
per-member-per-month (PMPM) fee.
withdrawal.
withhold.
Question 2
The types of payments that an insured person is responsible for paying include all of the following EXCEPT:
deductibles.
charges over the allowed amount for a participating provider.
charges over the allowed amount for a nonparticipating provider.
charges for excluded services.
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