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Insurers Use Retrospective Utilization Reviews to Determine That All Treatment

question 41

True/False

Insurers use retrospective utilization reviews to determine that all treatment claims were legitimate.(Utilization Reviews)


Definitions:

Total Loss

A situation in which property is so severely damaged that repairing it is not reasonable or possible, often leading to a claim of the full insured value.

Fire Damage

Destruction or injury caused by fire.

Shareholder

An individual or entity that owns part of a public or private corporation through possession of one or more shares of its stock.

Insurable Interest

The financial or other type of interest a policyholder must have in the subject matter of the insurance policy, ensuring they suffer a financial loss if the insured event occurs.

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