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Author Question: If a claim is received by the IPA and it is incomplete, the IPA will: a. deny payment. b. extend ... (Read 23 times)

gonzo233

  • Hero Member
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  • Posts: 557
on: Jun 27, 2018
If a claim is received by the IPA and it is incomplete, the IPA will:
 
  a. deny payment.
  b. extend prepayment.
  c. request additional information.
  d. pay the claim.

Question 2

If a member of an MCP has met all contractual agreements (e.g., premium paid, seen an in-network provider, and paid any contractual copayments), the provider:
 
  a. is required to continue the contract with the patient.
  b. is required to pay the claim.
  c. cannot charge the patient any additional amount for services provided.
  d. cannot be paid.


Dunkey

  • Sr. Member
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  • Posts: 333
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: c

Answer to Question 2

Answer: c


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