An Independent Review Is Not Available in All the Following

question 35

Multiple Choice

An independent review is not available in all the following circumstances EXCEPT:

• A) The employer's WC healthcare plan refuses to pay for a service the plan does not cover.
• B) The employer's healthcare plan is not subject to the law related to the independent review organization (IRO) process.
• C) The plan determines that the treatment was not medically necessary after treatment was received.
• D) The employer's plan or its utilization review agent (URA) determines that an ongoing treatment is medically unnecessary.

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Definitions:

Per Month

The term per month is used to describe or quantify an event, action, or measurement over the period of a month.

Compounded Monthly

A method of calculating interest where the interest earned on an investment is reinvested and earns additional interest in subsequent periods on a monthly basis.

Monthly Payments

Regular payments made over a set period of time, such as those for loans or subscriptions, calculated on a monthly basis.

Loan

An amount of money lent that must be repaid along with interest.