An Organization That Processes Claims and Provides Administrative Services for Another

question 39

Multiple Choice

An organization that processes claims and provides administrative services for another organization is

• A) utilization management.
• B) resource-based relative value system.
• C) third-party administrator.
• D) provider network.

---

Definitions:

Abnormally Dangerous

Activities or conditions that inherently carry a significant risk of substantial harm, even when reasonable care is taken.

Pesticide Spray

The application of chemicals designed to control, repel, or kill pests on plants, soil, or other surfaces.

Contributory Negligence

Contributory negligence is a legal doctrine that denies or limits a plaintiff's ability to recover damages if their own negligence contributed to the harm they suffered.

Reasonable Person

A hypothetical individual in society who exercises average care, skill, and judgment in conduct and who serves as a comparative standard for determining liability.