Tracy is covered by a group dental insurance plan at work.At her latest check-up,the dentist notes that she needed crowns on two teeth.Under her plan,if the cost of dental work will exceed $500,the dentist submits the treatment plan to the insurer to calculate what the plan will cover and what the employee will pay.This provision is known as a

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The provision in this scenario is the insurer's predetermination of benefits, where the dentist submits the treatment plan to determine what the plan will cover and what the employee will have to pay. The other options presented (mandatory second opinion, underwriting review, and claims audit) do not accurately describe this process.

Tracy Is Covered by a Group Dental Insurance Plan at Work.At