The payer's process for determining medical necessity is called _____.
A) exploitation review
B) relevance review
C) applicability review
D) utilization review
Correct Answer:
Verified
Q34: _ links participating providers and independent BCBS
Q35: Participating provider's local BCBS plan is called
Q36: _ is BCBS plan in the subscriber's
Q37: _ is BCBS consumer-driven health plan that
Q38: The types of services that the provider
Q40: When the practice decides to participate in
Q41: What is protection against large losses or
Q42: Nonemergency surgical procedure is called _.
A) discretionary
Q43: What determines whether a participating provider can
Q44: What is an organization hired by a
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