*NURSING > A-Level Question Paper > CPESC Exam – Questions And Answers (Rated A+. (All)
Which of the following reimbursesits insuredsfor covered medical expenses? - health maintenance organizations - preferred provider organizations - commercial insurers - service providers -Answer�... �COMMERCIAL INSURERS - Commercial insurance companies function on the reimbursement approach. Policyowners obtain medical treatment from whatever source they feel is most appropriate and submit their charges to their insurer for reimbursement A business entity can be defined as a(n) - agency that must only operate outside of TN - agency that must only operate inside of TN - association or a limited liability company - businessthat requires approval by the Attorney General to transact business -Answer✅ ASSOCIATION OR A LIMITED LIABILITY COMPANY - The definition of a business entity includes an association or limited liability company Which of the following health insurance policy provisions specifies the health care services a policy will provide? - insuring clause - usual, customary, and reasonable clause - consideration clause - benefit clause -Answer✅INSURING CLAUSE - The insuring clause identifies the specific type of health care services that are covered by that policy [Show More]
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