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Author Question: Which of the following is a step in a second opinion process? a. A request is made by the claims ... (Read 36 times)

RYAN BANYAN

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on: Jun 27, 2018
Which of the following is a step in a second opinion process?
 
  a. A request is made by the claims examiner for a second opinion.
  b. The patient's chart remains private from the second opinion doctor.
  c. An internal review is done.
  d. All records are forwarded to the MCP's chief medical officer for a determination.

Question 2

All of the following are part of processing an MCP claim EXCEPT:
 
  a. Checking the member's eligibility
  b. Checking the member's contract
  c. Determining financial responsibility
  d. Assuring a second opinion


heinisk01

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Reply #1 on: Jun 27, 2018
Answer to Question 1

C

Answer to Question 2

D


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