A provider who has a contractual agreement to accept an insurance company’s pre-negotiated rate for healthcare services is considered to be?

Answers

Answer 1

Answer:

The type of health insurance that enables healthcare providers to accept insurance payments to provide specific health services to members at a negotiated rate is called a health medical care organization.

Explanation:

Health medical care organization is a kind of medical insurance that allows the patients to seek health facilities at a negotiated amount of the annual fee.

The providers have agreed to the payment methods and the negotiated amounts proposed by the health medical care organization in exchange for a steady amount of customers.

The health medical care organization is regulated at the federal as well as the state levels in the U.S.

Answer 2
Pre-negotiated rates are the amounts paid (dollar amount or percentage) by the patient for any health care services provided by the in-network provider. More out of pocket expenses could be expected if the patient wants to use a non-network provider, as non-network providers have not contracted with the insurance company for a fee schedule. Most insurance companies operate as "for-profit" (employers sponsored or individual plans) as opposed to "not for profit" (SCHIP, TRICARE, state and federal programs).

Related Questions

Would It be a good idea if someone's has my room and I live in a tent in my backyard, Would it be a good idea if I Keep a Turtle Or a fish in a small pet container for fish and reptiles, and would it I have 100% Freedom in a backyard

Answers

Answer:

uh ok man I don't understand what you are asking here but I will do my best:

-yes, you can live in a tent in your backyard.

-yes, you should keep your turtle/fish in a small pet container for fish and reptiles.

-yes, you have 100% freedom in your backyard, as it is your home. But don't do anything illegal.

the first one is yes the second is yes and third is yea

When assessing the neonate of a client who used heroin during her pregnancy, the nurse expects to find:

Answers

Answer: client a drug consumer...

Explanation:

Hope it's right

A Drug Consumer is the answer •_•

Which of the following statements is true about the information contained within the box
at top of a Limited Entry Program's Advising Sheet?
All of the above
It lists eligibility requirements for the Limited Entry Program
It contains important information about selection criteria
It lists qualifications that must be met in order to apply to that specific program.

Answers

Answer:

The program goals, criteria for selection, a plan for onboarding and finally keep on listening are the four components of brand advocates program.

Never stop listening, by steadily monitoring the media landscape, not only will you recognize more and more advocates, but you'll hear what ones already have been saying. Brand advocates don't finish overnight, it is more than strategy it is a thinking that penetrates every part of the business.

Explanation:

heyyyy girlyyyyyyyyyyyyyyyyy

I can’t seem to get passed this question. If anyone could help it would be greatly appreciated!

Answers

I believe it’s The last answer

Answer: The last one is your answer

Explanation:

I'm Recently thinking getting A New Fish Tank And I Ended Up Buying A Huge Rock For $20 And Regretting It So Later Today Imma Get A Refund, But I'm Thinking Would It Be A Good Idea If I Bought A New Aquarium And Sell My Old One But Would It Be A Good Idea If I Did ?

Answers

Answer:

yes

Explanation:

you are your own person, do you want.

Well it depends, if your not planning on using the old tank anymore than you should sell it but if your going to continue to use it then don’t sell it the decision is up to you

blank occurs when procedures and/or services are used only when an insurer is asking for a wirk related or medical disability exam.

Answers

Answer:

Answer:

Precertification

Explanation:

For managed care organizations to pay for medical services, precertification needs to be done. Precertification involves proving to the medical insurance company that a service is medically necessary. After precertification, the insurance company would determine if the service is a covered service before payment is made.

Precertification is taken by the insurer to provide the insurance company with procedures and/or services and diagnosis.

Explanation:

Precertification occurs when procedures and/or services are used only when an insurer is asking for a work-related or medical disability exam.

What is a Medical disability exam?

A Medical disability exam may be defined as a type of test that illustrates any sort of physical or mental impairment that substantially limits one or more major life activities of a person.

Precertification implies the process of certifying or proving to the medical insurance company that a service is medically required by a patient. After the process of precertification, the insurance company would establish if the claimed service is covered before payment is done.

For the proper management of healthcare organizations precertification needs to be done. Precertification is taken by the insurer in order to furnish the insurance company with procedures and/or services and diagnoses.

Therefore, Precertification occurs when procedures and/or services are used only when an insurer is asking for a work-related or medical disability exam.

To learn more about Precertification, refer to the link:

https://brainly.com/question/22411321

#SPJ2

Other Questions
What are the solutions to the equation StartFraction w Over 2 w minus 3 EndFraction = StartFraction 4 Over w EndFraction? w = 6 and w = 2 w = 0, w = 2, and w = 6 w = 0 and w = Three-halves w = 2 and w = 6 HELPIn humans, ventilation, digestion, and blood flow are important biological processes. Explain the relationship between the structure of tissues or organs and one of these processes. if [tex] log_{x} \: a \: + log_{x} \: \frac{1}{a} = t[/tex]what is the possible value of t? Your friend Stacy has given you the following algebraic expression: "Subtract 20times a number n from twice the cube of the number. What is the expression that yourfriend is saying? in which type of government are military or secret police most likely to be used to prevent opposition? Write an INSERT statement that adds this row to the Categories table:CategoryName: BrassCode the INSERT statement so SQL Server automatically generates the value for the CategoryID column. MYA circle with radius of 5 cm sits inside a 11 cm x 11 cm rectangle.ColWhat is the area of the shaded region?Round your final answer to the nearest hundredth.MY11 cmProPro5 cm11 cmcm22 of 4 OOOHelp Write the following dates out in words.EXEMPLE4/9/1682: la fondation de la Louisiane par les Franaisle quatre septembre mil(le) six cent quatre-vingt-deux/ le quatre septembre seize cent quatre-vingt-deux1. 1/10/1800: lEspagne cde (cedes) la Louisiane la Franceenter answer2. 10/3/1804: la Grande Louisiane devient (becomes) amricaineenter answer3. 23/7/1864: labolition de lesclavage (slavery) en Louisianeenter answer4. 2/5/1979: Ernest Morial, dorigine crole-africaine, devient maire (becomes mayor) de La Nouvelle-Orlansenter answer5. 29/8/2005: louragan Katrina arrive La Nouvelle-Orlansenter answer Help asap thank you! Suppose we have 999 records of employees Emp1, Emp2, Emp5, Emp6 and so on up to Emp998 and Emp999 stored in a sequence. Hence, records are nothing but a row in the table. In the employee table, we want to insert new records Emp3 and Emp4 in the sequence, and once we have done insertion we need to update and retrieve the record efficiently to optimize the performance of a database by minimizing the access time when query is being executed.You are required to solve the problem with the index sequential access method with pros and cons in the given scenario An emf is induced by rotating a 1060 turn, 20.0 cm diameter coil in the Earth's 5.25 105 T magnetic field. What average emf (in V) is induced, given the plane of the coil is originally perpendicular to the Earth's field and is rotated to be parallel to the field in 10.0 ms? V You put up $40 at the beginning of the year for an investment. The value of the investment grows 5% and you earn a dividend of $4.50. Your HPR was ____. A. 5.0% B. 4.5% C. 11.3% D. 16.3% S100A8 sex chromosome? yes or no Can someone help me with this please !! President Johnson uses the Gulf of Tonkin (or USS Maddox) incident to push through Congress a resolution to give him: Which of the following statements is true?Photosynthesis is a type of homeostasis.Unicellular organisms have differentiated cells.Respiration is a type of metabolism.Multicellular organisms are made of only one cell. Read the following poems then fill in the compare/contrast chart."NovemberFall, leaves, fallNumber of StanzasStanzosRhyme Scheme What is a direct democracyWhat is the "tyranny of the majority" and what part of the Constitution protects us from it 4. Create your own scenario for the variable expression below. Then, suggest values for the variables and solve. 14x + 12y Mark is the network administrator in his building and is responsible for training all the new technicians on various troubleshooting techniques. He is instructing them on documenting their actions at the end of the troubleshooting process. What should he NOT encourage them to document at that time