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If a Patient with Managed Care Insurance Must Be Referred

Question 7

Multiple Choice

If a patient with managed care insurance must be referred to a specialist physician, what is the responsibility of the primary care physician's office?


A) Nothing; the patient just makes an appointment with the specialist.
B) To make the appointment with the specialist.
C) To submit a referral form the managed care organization and obtain preauthorization for the referral.
D) To notify the specialist so that the specialist's office can obtain preauthorization for a patient appointment.

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