A Provider Contract Describes the Responsibilities of Each Party to the Contract

question 172

Multiple Choice

A provider contract describes the responsibilities of each party to the contract. These responsibilities can be divided into provider responsibilities, health plan responsibilities, and mutual obligations. Mutual obligations typically include

• A) provisions for marketing the plan's product
• B) payment arrangements between the plan and the provider
• C) verification of the plan's eligibility to do business
• D) management of the contents of members' medical records

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Definitions:

Osteoporosis

A condition characterized by a decrease in bone density, leading to fragile bones that are more prone to fractures.

Kyphosis

A spinal disorder where there is an excessive outward curvature of the spine, causing hunching of the back.

Lordosis

A curvature of the spine that results in an exaggerated inward curve, primarily affecting the lower back, which can cause discomfort or stiffness.

Temporal Bone

A bone situated at the side and base of the skull, which houses structures of the ear and is part of the cranium.