Asked by Alicia Petroelje on May 18, 2024
Verified
All of the providers in the network are required to file a claim to get paid
A) IPA
B) HMO
C) PPO
Claim
A request or demand for something considered due, often used in the context of insurance.
- Seize the method and relevance of matching healthcare vocabulary with its specific definitions.
- Identify the different types of insurance networks (IPA, HMO, PPO) and their claim filing requirements.
Verified Answer
RA
Ramazan AttasauovMay 21, 2024
Final Answer :
B
Explanation :
HMO (Health Maintenance Organization) plans require all providers in their network to file a claim to get paid. This is part of their managed care structure, where services are provided within a network of healthcare providers to manage costs and ensure quality.
Learning Objectives
- Seize the method and relevance of matching healthcare vocabulary with its specific definitions.
- Identify the different types of insurance networks (IPA, HMO, PPO) and their claim filing requirements.