Managed care insurance requires the medical office to submit a referral request so that the proposed care can be reviewed and approved or denied.

Question

Quizplus · Accepted Answer

Managed care insurance typically operates under a pre-authorization or referral process, which requires the medical office to submit a request for a specialist or certain medical procedure to be approved by the insurance company before it can be performed. The insurance company will then review and either approve or deny the request based on their specific guidelines and criteria.

Managed Care Insurance Requires the Medical Office to Submit a Referral