The Provider Contract That Dr

question 26

Multiple Choice

The provider contract that Dr. Bijay Patel has with the Arbor Health Plan includes a no-balance-billing clause. The purpose of this clause is to:

• A) prohibit Dr. Patel from collecting payments from Arbor plan members for medical services that he provided them, even if the services are explicitly excluded from the benefit plan
• B) allow Dr. Patel to bill patients for services only if the services are considered to be medically necessary
• C) establish the guidelines used to determine if Arbor is the primary payor of benefits in a situation in which an Arbor plan member is covered by more than one health plan
• D) require Dr. Patel to accept Arbor's payment as payment in full for medical services that he provides to Arbor plan members

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Definitions:

Employer Homework

Assignments or tasks given by an employer to employees to be completed outside of normal working hours.

Conservative Appearance

A style or manner of dressing, grooming, and presenting oneself that is traditional, restrained, and conforms to professional standards.

Travel Time

The duration required to move from one location to another, often considered in planning and scheduling.

Professional Portfolio

A collection of work samples, achievements, and other documents that showcase an individual's skills, accomplishments, and growth in their profession.