Which is a special clause in an insurance contract that stipulates additional coverage over and above the standard contract?

a. deductible

b. copayment

c. coinsurance

d. rider

A participating provider (PAR):

a. is not allowed to bill patients for the difference between the contracted rate and their normal fee

b. does not contract with the insurance plan

c. Is responsible for paying health care fees

d. may bill patients for the difference between the contracted rate and their normal fee

A participating provider (PAR):

a. is not allowed to bill patients for the difference between the contracted rate and their normal fee

b. does not contract with the insurance plan

c. is responsible for paying health care fees

d. may bill patients for the difference between the contracted, rate and their normal fee

The birthday rule is used to determine the:

a. coinsurance amount

b. birthday of the dependent child

c. date to pay a claim

d. primary and secondary policyholders