Author Question: The contract issued by a payer, the plan document, or any other legally enforceable instrument under ... (Read 51 times)

abc

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The contract issued by a payer, the plan document, or any other legally enforceable instrument under which a covered person may be entitled to covered services is called:
 
  A. the schedule of benefits.
  B. the benefit plan.
  C. covered services.
  D. contracted services.

Question 2

The credentialing process of a managed care organization (MCO) will examine each physician's background for evidence of all of the following except:
 
  A. criminal activity.
  B. disciplinary actions.
  C. malpractice history.
  D. salary history.


spencer.martell

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Answer to Question 1

Answer: the benefit plan.

Answer to Question 2

Answer: salary history.



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