PracticeQuiz content is free on an ad-supported model.

Unfortunately, we can't support ad blocker usage because of the impact on our servers. If you'd like to continue, please disable your ad blocker and reload page.

Reload page

Managed Care Nursing

Category - Patient Issues

Start a Study Session Sign up for Question of the Day

An insurance company denies a claim and the patient appeals directly to the entity. A full and judicial review of the decision is in order, and an urgent request may be made based on criteria.

Which of the following matches the above scenario?

Appeals review
Interagency review
External review
Internal review

Explanation

Answer: D-If an insurance company denies a claim and the patient appeals directly to the entity, this is referred to as an internal review.

Was this helpful? Upvote!

Start a Study Session Sign up for Question of the Day

Most popular on PracticeQuiz

222 votes

You are attempting to gather information from a patient, but they are having a hard time trying to communicate since they were hit in the throat by a baseball bat. What is the function of the vocal cords? NREMT Advanced EMT
210 votes

An 8-year-old boy named Albert has a 10-year-old brother named Benny. Benny joins the service at 20 leaving Albert feeling bitter that he no longer has a brother to look up to. After 7 years, Albert is finally ready to make up with Benny who has been out of the service for 5 years. How old is Albert now? GED Exam Prep: Math
201 votes

Using motivation from ‘within’ is called ______________. CPCE Exam Prep
188 votes

The lymphatic system contains four organs: Medical Coding Exam Prep
130 votes

“A set of specialized organizational capabilities for providing value to customers in the form of services” is the official definition of: IT Service Management Foundation Practice Test

Managed Care Nursing

Top questions

Related questions

Most popular on PracticeQuiz

Ad-Blocker not supported

Managed Care Nursing

Top questions

Related questions

Most popular on PracticeQuiz