As Part of Its Utilization Management (UM) System, the Poplar

question 192

Multiple Choice

As part of its utilization management (UM) system, the Poplar MCO uses a process known as case management. The following statements describe individuals who are Poplar plan members: -Brad Van Note, age 28, is taking many different, costly medications for

• A) Mr. Van Note, Mr. Albrecht, and Ms. Cromartie
• B) Mr. Van Note and Ms. Cromartie only
• C) Mr. Van Note and Mr. Albrecht only
• D) Mr. Albrecht and Ms. Cromartie only

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Definitions:

Execution

The process of carrying out a court order or judgment, including the legal procedures involved in enforcing rights or the carrying out of the terms of a legal document.

Negligent Misrepresentation

The act of unintentionally providing false information that others rely upon, leading to financial loss or damage.

Elements Of Fraud

Elements of Fraud include the intentional misrepresentation or concealment of an important fact upon which the victim is meant to rely, and does rely, resulting in harm to the victim.

Material

Refers to the physical substances or components that are used to make or build something.