AHIP Exam AHM-530 Topic 5 Question 50 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 50
Topic #: 5

The Elizabethan Health Plan uses a direct referral program, which means that

APCPs in Elizabethan's network can make most referrals without obtaining prior authorization from Elizabethan

BPCPs in Elizabethan's network must always refer plan members to other specialists within the network

CElizabethan's plan members can bypass the PCP and obtain medical services from a specialist without a referral

DElizabethan's plan members must obtain referrals directly from Elizabethan

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Suggested Answer: A

by James at May 07, 2022, 10:37 PM

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