Question: 59. Which concept is NOT a contractual payment model? a. Stop-Loss Provision b. Percentage Discount c. Per Diem Payment d. Capitation 60. Credit balances may

59. Which concept is NOT a contractual payment model? a. Stop-Loss Provision b. Percentage Discount c. Per Diem Payment d. Capitation 60. Credit balances may be created by any of the following activities except: a. Incorrectly posting allowances or incorrect payment estimates. b. Late credits processed after a claim is billed. c. Duplicate payments. d. Credits to pharmacy charges posted before the claim final bills

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