Which of the following is not a feature of prospective reviews or precertification reviews? (Utilization Reviews)
A) Verifying a patient's coverage
B) Determining whether the health plan covers the treatment
C) Judging whether the proposed treatment is medically appropriate
D) Proceeding without a second surgical opinion
Correct Answer:
Verified
Q37: Pertaining to case management,serious health problems arising
Q38: Under mix-and-match plans each flexible credit awarded
Q39: Outsourcing benefits administration can be very expensive
Q40: Summary plan descriptions are generally short and
Q41: This cafeteria plan allows employees to exclude
Q43: Changes in benefits plans must be described
Q44: ERISA requires that material modification summaries must
Q45: Flexible spending accounts and premium-only plans are
Q46: These are the 4 most common types
Q47: Which of following statements is true of
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