Under the Affordable Care Act, Insurer may refuse to accept an internal appeal on a denied claim if
A. The calim is under $500
B. The insurer is unable to pay an appeal fee
C. the appeal is filed more than 180 days after the claim denial
D. The insured has submitted three appeals wihtin the calendar year
Answers
Under the Affordable Care Act (ACA), an insurer may refuse to accept an internal appeal on a denied claim if the appeal is filed more than 180 days after the claim denial.
This means that if a policyholder wants to challenge a claim denial by their insurer, they need to initiate the appeal process within 180 days of receiving the denial notification.
It is important for policyholders to be aware of this time limit and take prompt action if they wish to pursue an appeal. Filing the appeal within the designated timeframe is crucial to ensure that their case will be considered by the insurer.
Under the Affordable Care Act (ACA), an insurer may refuse to accept an internal appeal on a denied claim if the appeal is filed more than 180 days after the claim denial. This means that if a policyholder wants to challenge a claim denial by their insurer, they need to initiate the appeal process within 180 days of receiving the denial notification.
It is important for policyholders to be aware of this time limit and take prompt action if they wish to pursue an appeal. Filing the appeal within the designated timeframe is crucial to ensure that their case will be considered by the insurer.
Options A, B, and D are not correct in this context. The size of the claim, the insurer's ability to pay an appeal fee, or the number of appeals submitted within a calendar year do not determine whether an insurer can refuse to accept an internal appeal under the ACA.
Therefore, option C is the correct answer, stating that an insurer may refuse to accept an internal appeal if it is filed more than 180 days after the claim denial.
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Related Questions
core cpi is a. the cpi including only food, clothing, and energy. b. the cpi including only food and energy. c. the cpi excluding food, clothing, and energy. d. the cpi excluding food and energy.
Answers
The cpi core is the cpi without regard to food, clothes, and energy. (C option)
A component in a CPI is what?The The "Consumer Price Index" for All Urban Customers: All Products Less Food & Electricity" is an average of the costs urban consumers paid for a typical basket of products, excluding energy and food. Given the high price volatility of food and energy, economists frequently utilise this figure, also known as "Core CPI". For calculating the CPI, the Office of Labor Statistics takes a monthly sample of 80,000 prices and weights each index according to its share of current consumer spending to determine the total change in prices.
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Which type of card typically charges higher rates of interest and late fees?
Answers
Answer:
Debit Cards often have a higher interest rate than Credit Cards. Debit cards offer the highest level of fraud protection.
Explanation:
career question will mark first answer brainliest
Answers
Answer:
B.
Explanation:
I hope that helps!!!!!!!!
here is a riddle: someone who questions but know the solution simply for the fun. who is it
hope it brightens your day
Answers
Answer: You
Explanation: Your asking a riddle you know the answer to
Discuss how "The Cheesecake Factory" approaches and manages ethical issues.
Discuss a recent ethical issue involving "The Cheesecake Factory" and their management of the issue.
Answers
The Cheesecake Factory is committed to ethical business practices and approaches ethical issues with a comprehensive framework.
They prioritize integrity, fairness, and transparency in their operations. The company maintains a strong code of conduct that outlines expected behaviors and ethical standards for employees at all levels. They emphasize training and education to ensure employees understand and adhere to ethical guidelines. The Cheesecake Factory also encourages open communication, providing channels for employees to report any ethical concerns or violations. By fostering a culture of accountability and responsibility, The Cheesecake Factory strives to address ethical issues promptly and appropriately, safeguarding their reputation and maintaining trust with stakeholders.
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What does the Federal Reserve help regulate?
A. The economy
O B. Food
O C. Clothing
O D. Music
Answers
Answer: A The Economy
Mark Brainliest
kando company currently pays $15 per unit to buy a part for a product it manufactures. instead, kando could make the part for per unit costs of $6 for direct materials, $4 for direct labor, and $2 for incremental overhead. kando normally applies overhead costs using a predetermined rate of 200% of direct labor cost.(a) prepare a make or buy analysis of costs for this part.(b) should kando make or buy the part?
Answers
The make or buy analysis of costs for the part is as follows:
Current cost of buying the part = $15 per unit
Cost of making the part = $6 for direct materials + $4 for direct labor + $2 for incremental overhead = $12 per unit
Total cost of making the part including overhead = $12 + (200% x $4) = $20 per unit.
Based on the analysis, it would be cheaper for Kando to buy the part at $15 per unit rather than making it at $20 per unit.
Therefore, Kando should continue to buy the part instead of manufacturing it.To make the decision, we need to compare the buy cost per unit with the make cost per unit.
The total overhead cost per unit is calculated as:
Overhead cost per unit = 200% x Direct labor cost per unit
= 200% x $4
= $8
The total make cost per unit is:
Total make cost per unit = Direct materials cost per unit + Direct labor cost per unit + Overhead cost per unit
= $6 + $4 + $8
= $18
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A variable can be called or referenced before it has been defined.
O True
O False
Answers
Answer:
True.
Explanation:
when examining a master budget, where does a company find the planned expenditures for facilities and equipment?
Answers
A master budget will show all the details of the company's income-generating actions via the operating budget, with an overview of revenue and expenses.
What are the master budget's three primary parts?A master budget is composed of three primary parts. Operating budgets include all basic business costs and revenue. The budget for capital expenditures includes costs for longer-term projects and assets. Cash flows and business financial information are covered in financial budgets. A projection of what would appear on the balance sheet at the conclusion of the accounting period will also be included, along with cash inflows and outflows from the cash flow statement.
Perhaps the most closely examined part of the master budget is the budgeted income statement.
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What are the two factors used to calculate productivity?
A. Goods produced and number of customers
B. Resources invested and goods lost
C. Goods produced and employees hired
D. Goods produced and resources invested
Answers
Goods produced and resources invested re the two factors used to calculate productivity.
How productivity is measured?Productivity is measured from different factors in the organization like the profit generate from the sales, number of customer increases, the amount of money invested in the company, the goods that are consumed of sell within span of time and others.
Thus, option D is correct.
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Answer:
Goods produced and resources invested
Explanation:
The Cost of sales column total in the CRJ is posted to the debit side of the Cost of sales account and to the credit side of the Trading stock account in the General ledger. The reason for this:
A. When a sales transaction is realised, the original cost of the trading stock purchased must be recorded as an expense.
B. There is no profit made on the sales transaction.
C. We need to indicate that the Trading stock levels in the store have decreased. Cash has been received.
Answers
Option (a), The general ledger's trading stock account's credit side and the cost of sales account's debit side are both updated with the cost of sales column total from the CRJ. The justification for this is that when a sales transaction is accomplished, the original cost of the trading stock must be disclosed as an expenditure.
What appears in the Post Ref column of the general ledger account?Your account ledgers' post references provide the exact location in the journal, such as a page number or line number, where a transaction was recorded. The ability to rapidly compare the sub-ledger record for a given transaction to the original journal item will then be available to anybody looking at it.
What does a general ledger actually look like, and what transactions are recorded there?A general ledger is the name of the book or file that bookkeepers use to record all relevant accounts. The general ledger keeps track of five crucial accounting components: assets, liabilities, owner's capital, revenue, and costs. The transactions that first show in the journals are later updated in the general ledger accounts.
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A point on the production possibility frontier is called_______.
Answers
A point on the production possibility frontier represents an efficient allocation of resources, where an economy is producing a combination of goods and services that maximizes output given its available resources and technology. It signifies the optimal use of resources to achieve the highest possible level of production.
At points inside the production possibility frontier, the economy is not fully utilizing its resources and is operating below its potential. Points outside the frontier are currently unattainable with the given resources and technology.
Efficiency is a key concept in economics, and points on the production possibility frontier reflect the efficient allocation of resources. These points demonstrate the trade-offs that an economy faces when it reallocates resources from one good or service to another. By operating on the production possibility frontier, an economy is achieving the maximum possible output given its available resources and technology.
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is all of the techniques and communications that inform people and motivates them to buy products and services.
Answers
The technique and communication that inform people and motivates them to buy products and services is called marketing.
Marketing is defined as the process of planning and executing the conception, pricing, promotion, and distribution of ideas, goods, and services that fulfill organizational and individual objectives. It is all of the techniques and communications that inform people and motivates them to buy products and services.
Most of the organizations perform the following actions to market their products or services: Developing a marketing strategy. Identifying a target market.Making a marketing mix.
Designing a marketing communications campaign. Implementing a marketing plan.Generating leads and sales.Evaluate the performance of the marketing efforts.
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FIRST ANSWER WILL BE NAMED BRAINLIEST
Which action would effectively and appropriately address a budget deficit?
A. reduce income
B. reduce expenses
C. apply for bankruptcy
D. apply for new credit
Answers
Answer:
It is letter B
Explanation:
Reducing expenses would effectively and appropriately address a budget deficit. Thus option B is correct.
What is the budget?A budget is a financial plan that projects future earnings and costs. A budget, put simply, forecasts future finances in addition to anticipated revenues and expenditures. Calculating the company's earnings and costs for a set period of time is the procedure for creating a budget.
Increasing tax rates while decreasing government expenditures are the two apparent ways to minimize a budget deficit. the reduction of government spending and/or the raising of taxes, which results in either a rise in the primary surplus or a decrease in the budget deficit. greater taxes and less funding by the government. If public spending is lower than tax receipts, a budget surplus results.
Therefore, option B is the correct option.
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types of environment ?
Answers
Ecosystem
Desert
Forest
Tundra
Aquatic ecosystem
Question 5 of 10
The FBLA-PBL organization that supports
working professionals is…
O A. PD
O B. ML
O C. PBL
O D. FBLA
Answers
The FBLA-PBL organization that supports working professionals is PBL.
What is FBLA-PBL?A career and technical student organization with its main office in Reston, Virginia, is called Future Business Leaders of America (FBLA). Since its founding in 1940, FBLA has served as a non-profit association of high school ("FBLA"), middle level ("FBLA Middle Level"), and college ("FBLA Collegiate") students as well as adult members ("FBLA Network"). Its main goal is to assist students in making the transition from academia to the business world. With 253,365 members, FBLA is the largest career student group worldwide and one of the largest student organizations in the United States. Most advisers are business education teachers, and local FBLA chapters frequently have ties to their school's business education department. It is one of the top 10 businesses the U.S. Department of Education has listed. The March of Dimes is FBLA's official national charity partner.
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Can someone help me with this?
You are responsible for an automobile accident. Use the information below to determine:
The total amount your liability insurance will pay for the accident
The total amount your collision insurance will pay for the accident
The number of additional damages you are responsible for as a result of the accident
You and the driver of the other car were the only people involved in the accident. There were no injuries from the accident.
You have a 50/100/50 liability insurance policy with no deductible
You have collision insurance with a deductible of $500
The other car was valued at $25,000 and requires $10,000 in repairs
Your car was valued at $20,000 and requires $15,000 in repairs
Answers
Answer:
omg you have any idea
Answer:
Based on the type of insurance you have and the people involved in the accident, the total amount of liability you will pay is $25,000.
The total amount that your collision insurance will pay is $24,500 and the amount of additional damages you will pay is $0.
What is the total amount you will pay?
The coverage is 50/100/50 means that the insurance company will pay up to $50,000 for damages.
This means that the cost to repair both cars will be covered as it is less than $50,000:
= 10,000 + 15,000
= $25,000
There will be no additional damages.
The amount you will pay personally will be the $500 deductible which means that insurance will pay:
= 25,000 - 500
= $24,500
I NEED HELP FAST!!
Peter is assisting with a report that will forecast sales for the next year. He has been asked
to collate sales data for the previous five years in different seasons. He understands that
will help account for seasonal trends. What kind of sales forecast report is Peter working
on?
n
Peter is working on a
report to forecast sales.
Delphi method
time series analysis
sales force estimation
sales forecasting
It is not the last one. I already tried it.
Answers
Answer:
Time Series Analysis
Explanation:
Time Series Analysis is the process of forecasting sales through the means of looking at a certain range of time from the past.
Delphi method is the use of public opinion to form data and Sales force estimation is for future sales and not past ones.
Which areas need to be addressed in a promotional campaign when entering a global marketing place?.
Answers
Answer:
Global marketers must balance four potentially competing business objectives when developing worldwide advertising: 1) building a brand while speaking with one voice, 2) developing economies of scale in the creative process, 3) maximizing local effectiveness of advertisements, and 4) increasing the company's ...
the practice of charging different prices to different buyers for goods of like grade and quality is referred to as
Answers
Price discrimination refers to a pricing strategy that charges consumers different prices for identical goods or services
Pricing clients differently for the same commodity or service according to what the vendor thinks they can convince the customer to accept is a sales strategy known as price discrimination.
When a business practices pure price discrimination, they impose the greatest price that any given customer would accept. The provider separates customers into groups based on specific criteria and assigns a different price to each group in more common types of price discrimination.
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bzzagent mini case: bzzagent is a word-of-mouth marketing agency that runs brand advocate programs for global brands. it recently partnered with a company to pair its social media and word-of-mouth insights with shopper loyalty data. the results indicated that consumers who were making repeat purchases were also more engaged and created a higher volume of advocacy. the information from this study is important to marketers, who are trying to find ways to engage advocates and influencers, especially via social media. marketers are trying to figure out the characteristics of individuals who are most likely to influence others. in the bzzagent mini case, marketers are interested in finding individuals who influence others. the process by which one influential person informally influences the actions or attitudes of others is known as . question 28 options: a) referencing b) opinion leadership c) blogging d) positioning e) targeting
Answers
Marketers are searching for people who have sway over others in the BZZAGENT MINI CASE. Opinion leadership is the method by which one powerful individual subtly shapes the behaviors or attitudes of others.
The act of interpreting media messages or content for less sophisticated media users is known as opinion leadership. Usually, individuals who agree with opinion leaders hold them in high regard. The two-step communication flow idea put forward by Paul Lazarsfeld and Elihu Katz is where opinion leadership originates. Robert K. Merton, C. Wright Mills, and Bernard Berelson were significant contributors to the development of the opinion leader concept. The diffusion of innovations, concepts, or commercial goods is attempted to be explained by a number of models, some of which include this hypothesis.
Because we frequently ask for advice from others in a social setting, opinion leaders play a crucial part in information flow. The target audiences do not directly receive information from the media.
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Martin owns a store that sells four different products. Each product has the same unit selling price and equal unit variable costs. This month, the sales mix has been calculated and each of the four products constitute 25% of sales as determined by number of units sold. Does Martin need to calculate the weighted-average unit contribution margin this month
Answers
Answer:
No, the weighted-average unit contribution margin is equal to the contribution margin for each of the products.
Explanation:
The weighted-average unit contribution margin is not impacted by the company-wide break-even point in units.
The weighted-average unit contribution margin is NOT equal to the contribution margin for each of the products.
The weighted-average unit contribution margin IS dependent on the sales mix percentage.
Beta is... Group of answer choices how much a stock's returns vary with the market return. a measure of a stock's unsystematic risk. a measure of a stock's total risk. a tropical fish.
Answers
Beta is a financial metric used to measure the degree of systematic risk of an asset or portfolio in comparison to the market as a whole.
It determines how much an asset's return moves in relation to the overall market return. A beta of 1 indicates that the asset has the same volatility as the market, while a beta greater than 1 indicates higher volatility and a beta less than 1 indicates lower volatility. A beta of 0 implies that the returns of the asset are not correlated with the market's returns, and therefore the asset's risk is entirely unsystematic. Beta is an important tool for investors as it helps them understand the relationship between an asset or portfolio's risk and its potential return. A high beta can mean higher potential returns, but it also comes with greater risk, while a low beta means lower potential returns but also lower risk. Beta can be calculated using statistical analysis or obtained from financial websites.
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The risk associated with the unlikelihood that one of the key members will be struck by lightning would most likely be handled by which of the following?
A) Mitigating
B) Retaining
C) Ignoring
D) Transferring
E) Avoiding
Answers
Answer:
B) Retaining
Explanation:
The risk retaining refers to the risk in which the company takes the decision that represents the responsibility for some specific risk i.e. opposed to the risk transfer over and above to the insurance company
Here the risk retain is adopted when the doing cost is less than the fully or partially cost
In the given situation, since it is mentioned that the risk is attached with the unlikelihood and struck from lighting so this is to be handled by retaining
hence, the correct option is B. Retaining
Seed capital pays for which of the following?
A. Operating expenses for the first year of a new business
B. Expanding production and advertising budgets
C. Funding for research and development of a business idea
D. Competitive wages for high-tech workers
Edit: It's C
Answers
Answer:
It's C !
Explanation:
Hope you have a good day!
Seed capital pays for: C. Funding for research and development of a business idea.
The seed capital pays for market research for initial steps of product development. For example, development of the prototype or paying for all operating expenses like legal costs.
Seed capital provides operating expenses for the entire process of business. Hence, A is incorrect.
It has no role directly in the expansion of production and advertising budgets. Hence, B is incorrect.
It has no role in decision of competitive wages for high tech workers. Hence, D is incorrect.
Hence, C is correct option.
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A company in Maine sends lobsters to France What is Maine doing? Select three options
Answers
Answer:
Following are the answer to this question:
Explanation:
Some information is missing in the question. So, the correct choices can be described as follows:
i) practicing international trade
ii) exporting products
iii) participating in globalization
Maine has been globally traded because its, company transfers it's own goods at international frontiers when a client gives lobster with France in Maine. It exports products as its goods are manufactured in one nation, in this scenario the USA, is one other country, France in this case.Finally, it participates in the process of globalization because the company operates internationally by selling its products.Answer:
B. practicing international trade
C. exporting products
D. participating in globalization
Maintain a detailed working knowledge of all equipment deficiencies within the Work Center. The Work Center Supervisor will use the Current Ship's Maintenance Project (CSMP) as a daily working document for the scheduling of any maintenance actions not included on the PMS schedules. B. Use SKED's revision editor to ensure that all PMS changes have been properly annotated and applied to the schedule prior to the LCPO/LPO, Division Officer, and Department Head reviews and finalization. C. Schedule weekly Work Center maintenance and supervise its proper accomplishment. D. Ensure the status of Work Center planned maintenance is correctly reflected on the PMS schedules. E. Ensure the Division Officer and Division LCPO/LPO are advised of all 3-M System activity within the Work Center. F. Maintain an adequate supply of 3-M System materials within the Work Center. G. Ensure prompt reporting of all material deficiencies and completed maintenance actions as required. H. Ensure all equipment changes, adds and removals, regardless of whether the action is performed by command personnel or outside activities, is present or modified in the OMMS database and, if not present, is reported via 4790/CK to the Configuration Data Manager (CDM). A PMS FBR shall be submitted requesting a LOEP change for new adds and for equipment removals. This includes all alterations that result from maintenance actions which modify or change installed equipment as well as planned alterations, its called?
Answers
The correct answer is Maintain an adequate supply of 3-M System materials within the Work Center. The Maintenance Material Management (3-M) System is what this is known as.
The US Navy uses the system, a thorough maintenance management programme, to guarantee the material readiness of ships and submarines. In addition to maintaining accurate records of equipment deficiencies, maintenance actions, and material usage, the 3-M System contains methods for planning, scheduling, and tracking maintenance tasks.
The Current Ship's Maintenance Project (CSMP), Planned Maintenance System (PMS), SKED's revision editor, and the OMMS database are among the tools and papers used in this process. The system's goal is to guarantee that equipment is maintained in a way that is safe, dependable, and economical and that maintenance tasks are correctly planned, carried out, and recorded.
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In a closed economy with only lump-sum taxation, if the marginal propensity to consume is equal to 0. 75, a $70 billion increase in government spending could cause a maximum increase in output of.
Answers
The maximum increase in output would be $280 billion.
What is the maximum increase in output?The MPC is known as the marginal propensity to consume. It is the fraction of income that is spent on consumption. The other fraction of income is expected to be saved.
The maximum increase in output = increase in government spending / ( 1 - MPC)
$70 / 0.25 = $280 billion
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Marketing synergies often come at the expense of product synergies because.
Answers
Marketing synergies often come at the expense of product synergies because : A single customer segment will likely require a variety of products, each of which will have to be designed and manufactured.
What is marketing synergies?Synergy means the sum is greater than the part. Marketing synergy occurs when multiple marketing initiatives are combine to create an effect more than the sum of their parts.
The above means that customers contact one after fewer viewings of marketing messages across various platform.
Hence, Marketing synergies often come at the expense of product synergies because a single customer segment will likely require a variety of products, each of which will have to be designed and manufactured.
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Marsha wants to set up an irrevocable trust for her son. Which is she not able
to do after the trust is set up?
Answers
Answer:
irrevocable trust means that no one can get to the trust