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A provider contract describes the responsibilities of each party to the contract.

A provider contract describes the responsibilities of each party to the contract. These responsibilities can be divided into provider responsibilities, health plan responsibilities, and mutual obligations. Mutual obligations typically include

A.

provisions for marketing the plan’s product

B.

payment arrangements between the plan and the provider

C.

verification of the plan’s eligibility to do business

D.

management of the contents of members’ medical records

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