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NEW QUESTION: 1
Dr. Milton Ware, a physician in the Riverside MCO's network of providers, is reimbursed under a fee schedule arrangement for medical services he provides to Riverside members. Dr. Ware's provider contract with Riverside contains a typical no-balance billing provision. One purpose of this provision is to:
A. prevent Dr. Ware from billing a Riverside member for medical services that are not included in Riverside's plan
B. require Dr. Ware to accept the amount that Riverside pays for medical services as payment in full and not to bill plan members for additional amounts
C. prevent Dr. Ware from seeking compensation from patients if Riverside fails to compensate him because of the MCO's insolvency
D. prevent Dr. Ware from requiring a Riverside member to pay any coinsurance, copayment, or deductibles that the member would normally pay under Riverside's plan
Answer: B
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C. SAP NetWeaver Business Client
D. Browser-based interface (different browsers possible) BEx Analyzer (additionally requires Excel on the front-end)
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