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  • Exam Code: JN0-664
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A particular health plan offers a higher level of benefits for services provided in-network than for out-of- network services. This health plan requires preauthorization for certain medical services. With regard to the steps that the health plan's claims enforcement policy, clients:
A. need not determine whether the member is covered by another health plan that allows for coordination of benefits
B. should assume that all services requiring preauthorization have been preauthorized
C. should investigate any conflicts between diagnostic codes and treatment codes before approving the claim to ensure that the appropriate payment is made for the claim
D. need not verify that the provider is part of the health plan's network before approving the claim at the in- network level of benefits
Answer: C

NEW QUESTION: 2
Captive Portal is a __________ that allows the gateway to request login information from the user.
A. Transparent network inspection tool
B. Separately licensed feature
C. Pre-configured and customizable web-based tool
D. LDAP server add-on
Answer: C

NEW QUESTION: 3
You have decided to change the Instance type for instances running in your application tier that are using Auto Scaling.
In which area below would you change the instance type definition?
A. Auto Scaling launch configuration
B. Auto Scaling policy
C. Auto Scaling group
D. AutoScaling tags
Answer: A
Explanation:
http://docs.aws.amazon.com/AutoScaling/latest/DeveloperGuide/WhatIsAutoScaling.html

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