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NEW QUESTION: 1
The following statements describe two types of HMOs:
The Elm HMO requires its members to select a PCP but allows the members to go to any other provider on its panel without a referral from the PCP.
The Treble HMO does not require its members to select a PCP. Treble allows its members to go to any doctor, healthcare professional, or facility that is on its panel without a referral from a primary care doctor. However, care outside of Treble's network is not reimbursed unless the provider obtains advance approval from the HMO.
Both HMOs use delegation to transfer certain functions to other organizations. Following the guidelines established by the NCQA, Elm delegated its credentialing activities to the NewnanGroup, and the agreement between Elm and Newnan lists the responsibilities of both parties under the agreement. Treble delegated utilization management (UM) to an IPA. The IPA then transferred the authority for case management to the Quest Group, an organization that specializes in case management.
Both HMOs also offer pharmacy benefits. Elm calculates its drug costs according to a pricing system that requires establishing a purchasing profile for each pharmacy and basing reimbursement on the profile. Treble and the Manor Pharmaceutical Group have an arrangement that requires the use of a typical maximum allowable cost (MAC) pricing system to calculate generic drug costs under Treble's pharmacy program. The following statements describe generic drugs prescribed for Treble plan members who are covered by Treble's pharmacy benefits:
The MAC list for Drug A specifies a cost of 12 cents per tablet, but Manor pays 14 cents per tablet for this drug.
The MAC list for Drug B specifies a cost of 7 cents per tablet, but Manor pays 5 cents per tablet for this drug.
The following statements can correctly be made about the reimbursement for Drugs A and B under the MAC pricing system:
A. All of the above statements are correct.
B. Treble most likely is obligated to reimburse Manor 14 cents per tablet for Drug
C. Manor most likely is allowed to bill the subscriber 2 cents per tablet for Drug A.
D. Treble most likely is obligated to reimburse Manor 5 cents per tablet for Drug B.
Answer: D

NEW QUESTION: 2
After a storage administrator turned off IP fast path, all the NFS clients lost connectivity to the storage
controller.
Which statement describes what happened in this scenario?
A. No default gateway is configured.
B. All clients are in the local broadcast domain.
C. The ARP cache Ss flushed when IP fast path disabled.
D. The NFS clients are using NFS over UDP.
Answer: C

NEW QUESTION: 3
A new Cisco IPS device has been placed on the network without prior analysis.
Which CLI command shows the most fired signature?
A. Show version
B. Show alert
C. Show event alert
D. Show statistics virtual-sensor
Answer: D

NEW QUESTION: 4
DRAG DROP
You have an Exchange Server 2013 organization that contains five servers.
Several employees plan to use Microsoft Outlook to collaborate on some projects.
You need to configure access to Outlook to meet the following requirements:
- Several employees must be able to send email messages as a user named User1. - Several employees must be able to send email messages on behalf of a user named User2.
Which cmdlets should you use?
To answer, drag the appropriate crndlet to the correct requirement in the answer area. Each crndlet may be used once, more than once, or not at all. Additionally, you may need to drag the split bar between panes or scroll to view content.

Answer:
Explanation:



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Series63 Exam Info

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Series63 Exam Topics

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Series63 Offcial Page

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