Câu 11: AHM-530: Network Management
The National Association of Insurance Commissioners (NAIC) Managed Care Plan Network Adequacy Model Act defines specific adequacy and accessibility standards that health plans must meet. In addition, the Model Act requires health plans to:
Nội dung câu hỏi
The National Association of Insurance Commissioners (NAIC) Managed Care Plan Network Adequacy Model Act defines specific adequacy and accessibility standards that health plans must meet. In addition, the Model Act requires health plans to:
Các lựa chọn
Đáp án được giữ gọn theo nhãn A, B, C, D trong phần bình chọn tương tác.
- A. Hold plan members responsible for unreimbursed charges or unpaid claims
- B. Allow providers to develop their own standards of care
- C. Adhere to specified disclosure requirements related to provider contract termination — đáp án hiện tại
- D. File written access plans and sample contracts with the Centers for Medicaid and Medicare Services (CMS)
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