Under an 80/20 Plan, If a Participating Provider's Usual Charge

question 46

Multiple Choice

Under an 80/20 plan, if a participating provider's usual charge is $200 for a procedure and the allowed amount is $150, the provider can collect:

• A) $150 from the insurance carrier and $50 from the patient.
• B) $120 from the insurance carrier and $30 from the patient.
• C) $120 from the insurance carrier and $80 from the patient.
• D) $160 from the insurance carrier and $40 from the patient.

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Definitions:

Human Capital

The economic value of a worker's experience and skills, including education, training, intelligence, and health.

Social Capital

The networks of relationships among people who live and work in a particular society, enabling that society to function effectively.

Turbine Manufacturing

The industrial production of turbines, which are rotary mechanical devices that extract energy from a fluid flow and convert it into useful work.

Infrastructure

The basic physical and organizational structures and facilities, such as buildings, roads, and power supplies, essential for the functioning of a society or business.