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NEW QUESTION: 1
CORRECT TEXT
What program is administered by individual states?
Answer:
Explanation:
Medicaid
NEW QUESTION: 2
HOTSPOT
Match each description of a service or service deliverable with the associated HP Network Services category.
Answer:
Explanation:
NEW QUESTION: 3
Before a member is admitted to a hospital, a health care organization reviews authorization requests for
insurance coverage. An intake operator performs the Review Authorization Request assignment to
determine if the member qualifies for coverage.
If the member qualifies for coverage, the case advances to the Review Treatment assignment for review
by a physician. When the case arrives in the physician's worklist, the system automatically sends the
physician an email.
If the member is denied coverage, the system resolves the request. The system also automatically sends
two types of correspondence to the member: a letter and an email notification.
How would you configure the process so that the system automatically sends an email to the physician
when the case arrives at the physician's worklist?
A. Add a notification to the Review Authorization Request assignment.
B. Add an SLA to the Review Treatment assignment that includes an escalation notification.
C. Add a SendCorrespondence local action to the Review Authorization Request assignment.
D. Add a notification to the Review Treatment assignment.
Answer: B
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