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The Provider Contract That Dr

Question 168

Multiple Choice

The provider contract that Dr. Nick Mancini has with the Utopia Health Plan includes a clause that requires Utopia to reimburse Dr. Mancini on a fee-for-service (FFS) basis until 100 Utopia members have selected him as their primary care provider (PCP) . At that time, Utopia will begin reimbursing him under a capitated arrangement. This clause in Dr. Mancini's provider contract is known as:


A) an antidisparagement clause
B) a low-enrollment guarantee clause
C) a retroactive enrollment changes clause
D) an eligibility guarantee clause

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