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

---

Definitions:

Observing from Distance

The act of monitoring or studying someone or something from a place that is physically removed from the subject to minimize interference or influence.

Study Disclosure

The act of informing participants about the nature, purpose, and potential risks of a research study before their participation.

Systematic Observations

Carefully planned and structured methods of collecting data by watching subjects in a specific setting.

Phenomenon Understanding

The comprehension or insight into events or occurrences that are observable, often leading to new knowledge or scientific discoveries.