Many Health Insurance Policies Require Patients to Call and Get

question 129

Multiple Choice

Many health insurance policies require patients to call and get pre-approval for tests or procedures,or else pay a much higher co-payment.The health insurance company acts as a __________________ for the purchase of medical services.

• A)decider
• B)initiator
• C)influencer
• D)user
• E)gatekeeper

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Definitions:

Misrepresentations

False statements or actions made to deceive or mislead.

Rescinding

The action of revoking, canceling, or repealing a contract, agreement, or law.

Respondeat Superior Liability

A legal doctrine holding employers or principals liable for the wrongful acts of their employees or agents, performed within the scope of their employment or agency.

Principal

The original amount of money borrowed or invested, excluding any interest or dividends.