A system designed to determine the medical necessity and appropriateness of a requested medical service or procedure is a/an:

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Utilization review is the process of reviewing a requested medical service or procedure to determine if it is medically necessary and appropriate. This can include reviewing the patient's medical history, the proposed treatment plan, and the anticipated outcome. Utilization review is often used by insurance companies or healthcare organizations to manage costs and ensure that resources are being used effectively. Appeals and petitions are typically used to challenge a decision that has already been made, while needs evaluation is a broader term that can refer to a range of assessments and evaluations.

A System Designed to Determine the Medical Necessity and Appropriateness