AHIP Healthcare Management: An Introduction AHM-250 Question # 123 Topic 2 Discussion

AHIP Healthcare Management: An Introduction AHM-250 Question # 123 Topic 2 Discussion

AHM-250 Exam Topic 2 Question 123 Discussion:
Question #: 123
Topic #: 2

The Cleopatra Group, a third-party administrator (TPA), has entered into a TPA agreement with the Alexander MCO with regard to the administration of a particular health plan. This agreement complies with all of the provisions of the NAIC TPA Model Law. On


A.

hold all funds it receives on behalf of Alexander in trust


B.

assume full responsibility for determining the claim payment procedures for the plan


C.

assume full responsibility for ensuring that the health plan is administered properly


D.

obtain from the federal government a certificate of authority designating the Cleopatra Group as a TPA


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