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Exam term

Utilization review

The managed care process of testing whether services are medically necessary and delivered in the right setting, through tools such as preauthorization, concurrent review, and retrospective review.

Lessons that use this term

  • Managed care structures: HMO, PPO, and POS plans Florida
  • Managed care concepts Florida
  • Managed care structures: HMO, PPO, and POS plans New York
  • Managed care concepts New York
  • Managed care concepts Texas

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