Tracy is covered by a group dental insurance plan at work. At her late

Tracy is covered by a group dental insurance plan at work. At her latest check-up, the dentist notes that she needed crowns on two teeth.

Under her plan, if the cost of dental work will exceed $500, the dentist submits the treatment plan to the insurer to calculate what the plan will cover and what the employee will pay. This provision is known as a
A) mandatory second opinion.
B) underwriting review.
C) predetermination of benefits.
D) claims audit.

ANSWER

Answer: C