Author Question: The contract issued by a payer, the plan document, or any other legally enforceable instrument under ... (Read 45 times)

abc

  • Hero Member
  • *****
  • Posts: 543
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

  • Sr. Member
  • ****
  • Posts: 342
Answer to Question 1

Answer: the benefit plan.

Answer to Question 2

Answer: salary history.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

For a complete list of videos, visit our video library