Match the following elements of managed care contracts to their corresponding descriptions.
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a. covered person
f. copayment
b. payer
g. benefit plan
c. participating provider
h. covered services
d. contracted services
i. nonparticipating provider
e. coordination of benefits
j. capitation
a licensed healthcare professional who has entered into an agreement to provide covered
services to covered individuals
contract issued by a payer under which a covered person may be entitled to covered
services
healthcare services provided to covered persons under the terms of the benefit plan
the amount a covered person is required to pay at the time of service,
the determination of which health plan will pay for covered services as primary on
secondary payer

Elements of managed care contracts:

Participating provider- A licensed healthcare provider who has entered into an agreement to provide covered services to covered individuals.

Benefit plan- Contract issued by a payer under which a covered person may be entitled to covered services.

Covered services- Healthcare services provided to covered persons under the terms of the benefit plan.

Copayment- The amount that a covered person is required to pay at the time of the service.

Coordination of benefits- The determination of which health plan will pay for covered services as primary on secondary payer.

his week a heat wave will be hitting, and most of the country will be experiencing temperatures above average for july. due to humidity, the temperature outside can feel even warmer than it actually is. this adjusted temperature, often referred to as the “feels like” temperature is called the heat index. the chart shows the heat index, which is calculated based on temperature and relative humidity. use this chart to answer the following questions.  

she forgets to repeat her message as often as necessary