The Steps That Result in an Insurance Carrier's Decision to Either

question 61

Multiple Choice

The steps that result in an insurance carrier's decision to either pay or deny a claim are known as:

• A) allocation.
• B) adjudication.
• C) determination.
• D) justification.

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Definitions:

Hierarchical

Organized in a way that groups or ranks people, tasks, or organizations in levels of importance or authority from the highest to the lowest.

Supervision

The action or process of watching and directing what someone does or how something is done, typically in a professional setting.

Bureaucratic

Referring to a system of administration marked by strict policies, procedures, and hierarchy, often leading to delays and inflexibility.

Organic

A form of organizational structure characterized by flexibility, decentralized decision-making, and a broad scope of operations.