Bart Vereen is insured by both a traditional indemnity health insurance plan, which is his primary plan, and a managed care plan. Both plans have a typical coordination of benefits (COB) provision, but neither plan has a nonduplication of benefits provision
Health plans often program into their claims processing systems certain criteria that, if unmet, will prompt further investigation of a claim. In an automated claims processing system, these criteria may signal the need for further review when, for example
The following statements are about the non-group market for managed care products in the United States. Select the answer choice containing the correct statement.
From the following choices, choose the definition that best matches the term Screening
The following statements are about accreditation in health plans. Select the answer choice that contains the correct statement.
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