In Mordecai vs. Blue Cross/Blue Shield of Alabama, the court determined that _____
A) a patient cannot sue their health insurance company for breach of contract because that is prohibited by statutory law
B) terms of an insurance policy cannot be altered after inception because the patient pays a monthly premium for insurance coverage and signing the contract protects the insurance company
C) the insurance company had the right to deny payment for major medical expenses regardless of whether procedures and services performed were medically necessary
D) the insured had the right to proceed against the insurance company for breach of contract to determine whether it had correctly determined that patient care was not medically necessary
D
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________ A medical assistant should have a patient who is in pain show him or her where pain is located
Indicate whether the statement is true or false
When a patient in a PPO insurance program sees a provider who is out-of-network, which of the following apply?
a. The patient may have to file the insurance claim. b. The patient may have to pay a higher out-of-pocket amount. c. The patient may have reduced benefits. d. All of the above
Which hearing screening test compares air conduction to bone conduction?
A) Tinne B) Rinne C) Leonard D) Mesuto
Which of these statements is false?
A) Cemental caries may be called "root caries." B) Root caries may be misinterpreted as cervical burnout. C) Arrested caries are caries that are no longer active. D) Rampant caries refers to decay that occurs under a restoration or around margins.