Examlex
TRICARE
Prime is a managed care plan that differs from TRICARE Standard in that:
A)beneficiaries are assigned a primary care manager (PCM).
B)more preventive services are covered.
C)fewer out-of-pocket costs must be paid by beneficiaries.
D)beneficiaries receive priority treatment at MTFs.
Personal Responsibility
The principle of taking ownership for one's actions and their consequent effects on oneself and others.
Work Opportunity Act
Legislation aimed at increasing job opportunities for certain groups of people, including the long-term unemployed, veterans, and recipients of certain types of public assistance.
Poorest Fifth
The segment of a population that ranks at the bottom 20% in terms of income.
Richest Fifth
The segment of a population that represents the top 20% in terms of wealth or income distribution.
Q13: According to ERISA, a carrier must provide
Q17: If a claim is denied as a
Q22: Under an 80/20 plan, if a participating
Q23: The patient's relationship to the subscriber can
Q28: By accepting lower payments from MCOs, physicians
Q50: A physician's Social Security number is always
Q65: Place of service codes used in form
Q67: The code S2 used in form locator
Q75: When is the TRICARE fiscal year?
Q86: To submit claims to an insurance carrier,