Al Marak, a member of the Frazier Health Plan, has asked for a typical Level One appeal of a decision that Frazier made regarding Mr. Marak's coverage. One true statement about this Level One appeal is that:
A) Mr. Marak has the right to appeal to the next level if the Level One appeal upholds the original decision
B) It requires Frazier and Mr. Marak to submit to arbitration in order to resolve the dispute
C) It is considered to be an informal appeal
D) It will be handled by an independent review organization (IRO)
Correct Answer:
Verified
Q105: A medical foundation is a not-for-profit entity
Q106: After a somewhat modest start in 2004,
Q107: A public employer, such as a municipality
Q108: A health savings account must be coupled
Q109: Arthur Moyer is covered under his employer's
Q111: As part of its utilization management (UM)
Q112: An exclusive provider organization (EPO) operates much
Q113: Appropriateness of treatment provided is determined by
Q114: A health plan's ability to establish an
Q115: Although the process is voluntary for health
Unlock this Answer For Free Now!
View this answer and more for free by performing one of the following actions
Scan the QR code to install the App and get 2 free unlocks
Unlock quizzes for free by uploading documents