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NEW QUESTION: 1
To protect providers against business losses, many health plan-provider contracts include carve- out provisions to help providers manage financial risk. The following statements are examples of such provisions:
The Apex Health Plan carves out immunizations from PCP capitations. Apex compensates PCPs for immunizations on a case rate basis.
The Bengal Health Plan carves out behavioral healthcare services from the scope of PCP services because these services require specialized knowledge and skills that most PCPs do not possess.
From the answer choices below, select the response that best identifies the types of carve-outs used by Apex and Bengal.
A. Apex: disease-specific carve-out
Bengal: specialty services carve-out
B. Apex: disease-specific carve-out
Bengal: specific-service carve-out
C. Apex: specific-service carve-out
Bengal: disease-specific carve-out
D. Apex: specific-service carve-out
Bengal: specialty services carve-out
Answer: D

NEW QUESTION: 2
Which mode of Information Capture is supported by Smart Recorder?
A. Text Mode
B. Command Mode
C. Window mode
D. Object mode
Answer: D

NEW QUESTION: 3
Commonly used distribution system/s in the insurance industry is/are:
A. Ordinary agency system
B. Career agency system
C. Personal selling distribution system and the direct response distribution
D. All of these whereas B and C are the same
Answer: C