Grant Pelham Is Covered by Both a Workers' Compensation Program

question 171

Multiple Choice

Grant Pelham is covered by both a workers' compensation program and a group health plan provided by his employer. The Shipwright Health Plan administers both programs. Mr. Grant was injured while on the job and applied for benefits. The provider network that Shipwright uses to furnish services for its workers' compensation program will most likely

• A) Emphasize primary care and consist mostly of generalists
• B) Focus treatment approaches on rapid recovery rather than cost
• C) Offer workers' compensation beneficiaries the same types and levels of treatment that Shipwright's traditional network furnishes to group health plan members
• D) Exempt participating providers from meeting standard credentialing requirements

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Definitions:

Mutual Agency

A principle in partnership businesses where each partner has the power to bind the partnership in agreements with third parties.