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The following statements describe healthcare services delivered to health plan members by plan providers.

The following statements describe healthcare services delivered to health plan members by plan providers. Select the statement that describes a service that would most likely require utilization review and authorization.

A.

Adele Farnsworth visited a dermatologist to have a mole removed from her arm.

B.

Jonathan Lang underwent an electrocardiogram (EKG) during an office visit with his cardiologist.

C.

Corinne Maxwell underwent physical therapy after being hospitalized for hip replacement surgery.

D.

Jose Redriguez, a 70-year-old Medicare patient, received a flu shot as part of his annual physical examination.

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