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If a Member in a Health Maintenance Organization (HMO) Sees

question 76

True/False

If a member in a health maintenance organization (HMO) sees a specialist without a referral from his or her PCP, the HMO will not pay for the service.


Definitions:

Organization

An administrative and functional structure, such as a business or institution, consisting of individuals working together to achieve common goals.

Company Culture

The shared values, beliefs, and practices that characterize an organization and influence its work environment.

Retention

Refers to the ability of an organization to retain its employees over time.

Diverse Employees

Workers from a wide range of backgrounds, including different ethnicities, genders, ages, religions, disabilities, and sexual orientations, contributing to a rich and inclusive workplace culture.

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