menu-iconExamlexExamLexServices

Discover

Ask a Question
  1. All Topics
  2. Topic
    Medicine
  3. Study Set
    CPC CPC PInsurance
  4. Exam
    Exam 8: Private Payersblue Cross and Blue Shield
  5. Question
    The Payer's Process for Determining Medical Necessity Is Called _____
Solved

The Payer's Process for Determining Medical Necessity Is Called _____

Question 12

Question 12

Multiple Choice

The payer's process for determining medical necessity is called _____.


A) exploitation review
B) relevance review
C) applicability review
D) utilization review

Correct Answer:

verifed

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Related Questions

Q7: _ links participating providers and independent BCBS

Q8: A (n) _ is a medical insurance

Q9: _ is the nation's largest health insurer

Q10: FEHB is the abbreviation for _.<br>A) Federal

Q11: EBSA is the abbreviation for _.<br>A) Federal

Q13: A (n) _ is an individual who

Q14: _ is a prepaid group practice that

Q15: _ is a managed care program where

Q16: _ is BCBS consumer-driven health plan that

Q17: _ gives an employee who is leaving

Examlex

ExamLex

About UsContact UsPerks CenterHomeschoolingTest Prep

Work With Us

Campus RepresentativeInfluencers

Links

FaqPricingChrome Extension

Download The App

Get App StoreGet Google Play

Policies

Privacy PolicyTerms of ServiceHonor CodeCommunity Guidelines

Scan To Download

qr-code

Copyright © (2025) ExamLex LLC.

Privacy PolicyTerms Of ServiceHonor CodeCommunity Guidelines