Author Question: Most MCP contracts with providers are on a shared-risk basis. Indicate whether this statement is ... (Read 39 times)

danielfitts88 · **on:** Jun 27, 2018

Most MCP contracts with providers are on a shared-risk basis.

Indicate whether this statement is true or false.

Question 2

All denial letters must meet which of the following criteria?

a. The decision to deny must be correct and based upon approved medical practices.
b. The denial reason must be kept private to protect the member.
c. HMO-approved denial reasons must be used.
d. The denial letter must be sent to the member's parents.