The Provider Contract Between the Ocelot Health Plan and Dr

question 110

Multiple Choice

The provider contract between the Ocelot Health Plan and Dr. Enos Zorn, one of the health plan's participating providers, is a brief contract which includes, by reference, an Ocelot provider manual. This manual contains much of the information found in Ocelot's comprehensive provider contracts. The following statements are about Dr. Zorn's provider contract. Select the answer choice containing the correct statement.

• A) All statements in the provider contract shall be deemed to be warranties, because all statements of facts contained in the contract must be true only in those respects material to the contract.
• B) Because the provider manual is part of the contract, Ocelot must make sure that its provider manual is comprehensive and up-to-date.
• C) Because the provider contract is a brief contract, Ocelot most likely is prohibited from amending the contract unilaterally, even if it gives Dr. Zorn advance notice of its intent to amend the contract.
• D) Areas that should be covered in the provider manual, and not in the body of the contract, include any specific legal issues relevant to the contract.

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Definitions:

Concrete Thinking

A mode of thinking that is focused on the physical and the literal, without the ability to consider abstract concepts or hypothetical situations.

Medication Nonadherence

The behavior of not taking prescribed medications as directed, which can include skipping doses, not refilling prescriptions, or stopping medication without a doctor's consent.

Chronic Deterioration

A gradual decline in physical or mental health over an extended period.

Psychoeducation

An educational process that combines therapeutic interventions and teaching to improve understanding and management of psychological conditions.