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AHIP Updated AHM-530 Exam Blueprint, Syllabus and Topics

Network Management

Last Update Nov 30, 2025
Total Questions : 202

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AHIP AHM-530 Exam Overview :

Exam Name Network Management
Exam Code AHM-530
Actual Exam Duration 120 minutes
Expected no. of Questions in Actual Exam 90
Official Information https://www.ahip.org/course/network-management-ahm-530/
See Expected Questions AHIP AHM-530 Expected Questions in Actual Exam
Take Self-Assessment Use AHIP AHM-530 Practice Test to Assess your preparation - Save Time and Reduce Chances of Failure

AHIP AHM-530 Exam Topics :

Section Weight Objectives
Objective 1:  
  • Gain a detailed understanding of the scope and organization of the network management function within health insurance provider organizations
Objective 2:  
  • Learn the process for network provider selection
Objective 3:  
  • Master the essential elements of a contractual relationship between health insurance providers and health care providers
Objective 4:  
  • Identify the primary responsibilities and obligations of health insurance providers and health care providers under a provider contract
Objective 5:  
  • Map out how health insurance providers select, contract with, and compensate specialists and health care facilities
Objective 6:  
  • Recognize special requirements that affect network management for Medicare, Medicaid, and workers’ compensation networks
Objective 7:  
  • Explore how health insurance providers ensure their provider networks remain adequate to meet member needs

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