Utilization guidelines are used to:

Name: Utilization guidelines are used to:
Brand: Quizplus
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Question

Quizplus · Accepted Answer

Utilization guidelines are typically used by insurance companies to determine whether a specific medical service or treatment is medically necessary and therefore covered under the patient's insurance plan. This helps the insurance company control costs and ensures that patients receive appropriate and necessary care. Utilization guidelines are not used to determine network participation or coverage eligibility.

Utilization Guidelines Are Used To