One of the Rules Used for Verifying and Validating the Structural

question 74

True/False

One of the rules used for verifying and validating the structural model is to check that the object type of the attributes listed on the back of the CRC card and with the attributes in the attribute list of the class on a class diagram implies an aggregation from the class to the class of the object type.

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Definitions:

Eligibility for Benefits

Criteria that determine if individuals or groups qualify for certain advantages or services.

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.