Although a Health Plan Is Allowed to Delegate Many Activities

question 42

Multiple Choice

Although a health plan is allowed to delegate many activities to outside sources, the National Committee for Quality Assurance (NCQA) has determined that some activities are not delegable. These activities include

• A) evaluation of new medical technologies
• B) overseeing delegated medical records activities
• C) developing written statements of members' rights and responsibilities
• D) all of the above

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Definitions:

Obligee

The party in a contractual agreement who is owed a duty or obligation by another party, the obligor.

Third-Party Donee Beneficiary

A person who benefits from a contract between two other parties, although they are not one of the contract's signatories.

Insurance Policy

A contract between an individual or entity and an insurance company, outlining the terms for premium payment in exchange for risk coverage.

Assignment

The process of handing over rights, assets, or responsibilities from one entity to another.