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Question

One true statement about the responsibilities of providers under typical provider contracts is that most provider contracts:

Accepted Answer

hold that the responsibility of the provider to deliver services is usually subject to the provider's receipt of information regarding the eligibility of the member

Answer

include a clause which states that providers must maintain open communications with patients regarding appropriate treatment plans, unless the services are not covered by the member's health plan

Answer

contain a gag clause or a gag rule

Answer

include a clause that explicitly places the responsibility for medical care on the health plan rather than on the provider of medical services

One true statement about the responsibilities of providers under typical provider contracts is that most provider contracts:

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