AHIP Exam AHM-530 Topic 1 Question 97 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 97
Topic #: 1

The provider contract between the Ocelot Health Plan and Dr. Enos Zorn, one of the health plan's participating providers, is a brief contract which includes, by reference, an Ocelot provider manual. This manual contains much of the information found in Ocelot's comprehensive provider contracts. The following statements are about Dr. Zorn's provider contract. Select the answer choice containing the correct statement.

AAll statements in the provider contract shall be deemed to be warranties, because all statements of facts contained in the contract must be true only in those respects material to the contract.

BBecause the provider manual is part of the contract, Ocelot must make sure that its provider manual is comprehensive and up-to-date.

CBecause the provider contract is a brief contract, Ocelot most likely is prohibited from amending the contract unilaterally, even if it gives Dr. Zorn advance notice of its intent to amend the contract.

DAreas that should be covered in the provider manual, and not in the body of the contract, include any specific legal issues relevant to the contract.

Show Suggested Answer

Suggested Answer: C

by Casie at Sep 13, 2024, 10:13 PM

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15 days ago

I think the correct statement is B.

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