The contract provision that states a physician cannot seek payment from a patient under a managed care contract in relation to any benefit penalties that were applied based on a utilization review decision is:
A. no fault.
B. hold harmless.
C. stoploss coverage.
D. liability.
Question 2
A payer that is contractually obligated to make payment for medical services on behalf of the covered person can be:
A. an insurance company.
B. a third-party administrator.
C. a self-insured health benefit plan.
D. all of the above.