Examlex
If a doctor is trying to determine the presence of multiple fetuses, which procedure would MOST likely be used?
Predetermination
The act of deciding or establishing something in advance, often before relevant data or events are known.
Preauthorization
Prior approval of insurance coverage and necessity of procedure; refers to obtaining plan approval for services prior to the patient receiving them; relates not only to whether the services are covered but also whether the proposed treatment is medically necessary.
Medically Necessary
A term used to describe treatments, services, or supplies needed to diagnose or treat a medical condition, determined by healthcare providers.
Indemnity-Type Insurance
A form of insurance where the insurer compensates the insured for losses in exchange for premiums paid, without providing the service directly.
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