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A Process Required by Some Insurance Carriers in Which the Provider

question 56

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A process required by some insurance carriers in which the provider obtains permission to perform certain procedures or services or refers a patient to a specialist is called a preauthorization.


Definitions:

Bipolar Disease

A mental health disorder characterized by extreme mood swings, including emotional highs (mania) and lows (depression).

Psychosomatic Illness

A condition where psychological stress causes or exacerbates physical symptoms without a clear physical cause.

Medical Mediation

The process of resolving disputes or misunderstandings in the healthcare context, often involving patients, healthcare providers, and sometimes legal representatives.

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