With Electronic Claims, a Crossover Claim Is

question 3

Multiple Choice

With electronic claims, a crossover claim is

• A) a claim where benefits "cross-over" to another health plan.
• B) sent electronically to more than one health plan before it is sent back to the provider.
• C) not possible since it must be sent to more than one health plan.
• D) returned to the provider after each health plan reviews the claim.

Recognize the importance of social stratification and its relation to achieved and ascribed status.

Understand the global impact of economic shifts on social classes.

Identify and describe specific social phenomena, such as consumer market naming conventions and social group behaviors.

Understand the concept of occupational prestige and its relation to social class.

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Definitions:

Forced Distribution Method

A performance evaluation system where employees are ranked in accordance with a predetermined distribution curve, such as a bell curve, forcing managers to differentiate between high, medium, and low performers.

Multiperson Comparison

An appraisal method that evaluates and compares the performance of employees against each other to establish rankings.

Performance Classifications

The categorization of employee or organizational performance levels, typically used to assess, compare, and manage productivity and outcomes.

Merit Pay System

A compensation strategy that rewards employees based on their performance, as assessed through appraisals or achievements.