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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Detra

2 months ago

Haha, I'm just hoping I don't end up like Dr. Zorn, stuck in a contract with a bunch of fine print!

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Vi

17 days ago

Haha, I'm just hoping I don't end up like Dr. Zorn, stuck in a contract with a bunch of fine print!

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Chandra

17 days ago

Haha, I'm just hoping I don't end up like Dr. Zorn, stuck in a contract with a bunch of fine print!

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Layla

30 days ago

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

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Brynn

1 months ago

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

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Earnestine

1 months ago

A) All 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.

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Jovita

1 months ago

A) All 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.

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Thersa

2 months ago

I'm not sure about that. Option C also seems plausible, as a brief contract might limit Ocelot's ability to unilaterally amend the agreement.

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Lashanda

2 months ago

I believe the answer is D, as legal issues should be covered in the provider manual.

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Talia

2 months ago

I agree with Sommer, the provider manual being part of the contract is important.

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Benton

2 months ago

I agree with James. The provider manual contains a lot of the important information, so Ocelot needs to keep it current.

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Pansy

3 days ago

I agree, the provider manual is crucial for both parties to understand their obligations.

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Pete

7 days ago

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

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Jaclyn

13 days ago

A) All 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.

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Alesia

2 months ago

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

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Trina

2 months ago

A) All 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.

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Sommer

2 months ago

I think the correct statement is B.

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Monroe

2 months ago

But what about option D? Legal issues should be in the provider manual, right?

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Cornell

2 months ago

I agree with Anisha, because the provider manual is part of the contract.

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James

2 months ago

Option B seems like the correct answer. Ocelot must ensure that its provider manual is comprehensive and up-to-date since it is incorporated by reference into the provider contract.

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Anisha

3 months ago

I think the correct statement is B.

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