Many Health Insurance Policies Require Patients to Call and Get

question 41

Multiple Choice

Many health insurance policies require patients to call and get preapproval for tests or procedures. The health insurance company acts as a(n) ________ for the purchase of these medical services.

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

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Definitions:

Contract Law

The body of law that governs the formation, enforcement, and interpretation of contractual agreements.

Clear Evidence

Highly convincing or indisputable proof that supports a claim, allegation, or decision.

Negotiable Instrument

A formal document that promises to pay a certain sum of money, either upon request or at a specified date, with the right for the recipient to pass it on to someone else.

Privity

A concept in contract law referring to the relationship between parties in a contract, limiting the rights and obligations to those parties directly involved.