__________ occurs when procedures and/or services are used only when an insurer is asking for a work related or medical disabili

Question

Neko [114]

3 years ago

13

__________ occurs when procedures and/or services are used only when an insurer is asking for a work related or medical disabili

ty exam

Health

1 answer:

tangare [24] · Answer 1 · 2022-01-22T11:45:58+03:00

Answer:

Precertification

Explanation:

For managed care organizations to pay for medical services, precertification needs to be done. Precertification involves proving to the medical insurance company that a service is medically necessary. After precertification, the insurance company would determine if the service is a covered service before payment is made.

Precertification is taken by the insurer to provide the insurance company with procedures and/or services and diagnosis.