In Which Type of Managed Care Organization May Services Be

question 50

Multiple Choice

In which type of managed care organization may services be furnished at discounted rates if the members receive their healthcare from member providers but pay a higher out-of-pocket cost when going outside the organization?

• A) HMO
• B) PPO
• C) PCP
• D) IPA

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Definitions:

Standard of Proof

The level of evidence required to prove a case in a legal proceeding.

Preponderance of the Evidence

The standard of proof required in most civil cases, meaning that it's more likely than not that the claim is true.

Appellate Courts

Judicial bodies that review and rule on the decisions of lower courts.

Appeal

The process of applying to a higher court for a reversal of the decision of a lower court.