Match Each Health Insurance Term with Its Definition

question 79

Multiple Choice

Match each health insurance term with its definition.
-Method of controlling health care costs by reviewing services to be provided to members of a plan to determine the appropriateness and medical necessity of the care prior to the delivery of the care

• A)managed care
• B)Medicaid
• C)precertification
• D)preexisting condition
• E)service area
• F)subscriber
• G)individual insurance
• H)indemnity plan
• I)utilization management (review)
• J)workers' compensation

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Definitions:

DSM-IV

The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, a comprehensive classification of officially recognized psychiatric disorders, published by the American Psychiatric Association.

Mental Disorder

a broad category of conditions that affect mood, thinking, and behavior, significantly impacting daily living, relationships, and physical health.

Genetically Inherited

Traits or characteristics passed down from parents to offspring through genes.

Diathesis

A predisposition or vulnerability to developing a psychological disorder based on genetic or environmental factors.