According to some contract terms, if an MCO does not pay a claim within the time limit specified in the contract, the provider may be able to:
A. bill the patient directly.
B. charge the usual and customary fee instead of the discounted fee.
C. take legal action against the MCO.
D. terminate the MCO contract after filing a written notice of intention.
Question 2
Which type of payment method creates an incentive to provide more preventive care?
A. Capitation
B. Per diem
C. Per case
D. Discounted fee-for-service
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