reimbursement models 2 Flashcards
1
Q
Canada health act
-5 main principles
A
public administration comprehensiveness universality portability accessibility
2
Q
what adjudicates first
provincial or private
A
provincial
3
Q
what adjudicates last (always)
A
smart cards
4
Q
private insurance: couples
A
personal first, then partner
5
Q
private insurance: children
A
earliest parental birthday first, then second parent
6
Q
private insurance + federal coverage (NIHB)
A
private first then NIHB
7
Q
markup is provider choice for how much cover
A
8
Q
dispensing fee
A
ODB has max, dpnds on how many pharms in area
