Worldatwork Exam GR1 Topic 3 Question 58 Discussion

Actual exam question for Worldatwork's GR1 exam

Question #: 58
Topic #: 3

[All GR1 Questions]

What are usual, customary and reasonable charges (UCR)?

AThe charges that an insurance carrier determines are normal for a particular medical procedure within a specific geographical area

BThe charges that are published annually in the Global Insurers' Medical Cost Comparison Guide

CThe charges that are allowable for any given medical procedure with no pre-treatment authorization

DThe charges that are typically paid up front by a plan participant for services rendered.

Show Suggested Answer

Suggested Answer: A

by Teddy at Jul 07, 2023, 11:10 AM

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Catina

5 days ago

Option A seems like the most logical choice here. The UCR charges are typically determined by the insurance carrier based on the local market rates for a particular medical procedure.

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Myra

6 days ago

I'm not sure. I think UCR are the charges that are allowable for any given medical procedure with no pre-treatment authorization.

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Junita

7 days ago

I agree with Rasheeda. It makes sense that UCR would vary based on location and procedure.

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Rasheeda

9 days ago

I think UCR are the charges that an insurance carrier determines are normal for a particular medical procedure within a specific geographical area.

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Myong

11 days ago

I'm not sure, but I think UCR charges are what plan participants pay up front.

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Bette

12 days ago

I agree with Andra, it's about normal charges for medical procedures.

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Andra

19 days ago

I think UCR are charges determined by insurance carriers.

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