I believe the answer to be D.
The Preferred Provider Organization (PPO) allows the beneficiary to select the provider of their choice or provider out of the networks.
I would believe that A.) A person's pitch or inflection.
To be an example of Para-language.
It can be peer pressure, having alcohol in the house, parents or close family and friends drinking (which goes along with the second one), and going to parties which alcohol is presented.
If this is a multiple choice question what are the answers they give you?