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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)?

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Suggested Answer: A

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

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Micheline
3 months ago
As an aspiring insurance professional, I'd say Option A is the clear winner. It's all about those customary and reasonable charges, baby!
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Blondell
3 months ago
Haha, Option C sounds like a free-for-all! No pre-treatment authorization? That's not how insurance works, my friend.
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Xuan
3 months ago
I think Option D is a bit off the mark. The UCR charges are not the same as the plan participant's out-of-pocket costs, which can vary depending on the plan coverage.
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Odette
2 months ago
C) The charges that are allowable for any given medical procedure with no pre-treatment authorization
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Irving
2 months ago
B) The charges that are published annually in the Global Insurers' Medical Cost Comparison Guide
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Bethanie
2 months ago
A) The charges that an insurance carrier determines are normal for a particular medical procedure within a specific geographical area
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Shaun
3 months ago
I'm not sure about the correct answer, but Option B sounds a bit too generic to be the right one. The charges should be more localized and specific to the geographical area.
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Ming
2 months ago
I agree, Option A seems to be the most accurate in terms of localized charges.
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Kimbery
2 months ago
C) The charges that are allowable for any given medical procedure with no pre-treatment authorization
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Lemuel
2 months ago
A) The charges that an insurance carrier determines are normal for a particular medical procedure within a specific geographical area
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Catina
4 months 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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Yuonne
2 months ago
Ryan: Exactly, it's all about making sure the charges are usual, customary, and reasonable.
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Bernadine
2 months ago
User 3: Definitely, it helps ensure that the costs are fair and consistent for everyone.
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Ryan
2 months ago
User 2: I agree, it's important for insurance carriers to set reasonable charges based on the local market rates.
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Lisha
2 months ago
User 1: I think the answer is A. It makes sense that insurance carriers would determine normal charges for medical procedures.
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Leatha
2 months ago
Yes, UCR charges help insurance carriers establish reasonable rates for medical services in different areas.
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Becky
3 months ago
I think option A is the correct answer because UCR charges vary depending on the geographical location.
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Chu
3 months ago
It's important for insurance carriers to determine these charges to ensure fair pricing for medical procedures.
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Yuki
3 months ago
I agree, option A makes the most sense. UCR charges are based on normal rates in a specific area.
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Myra
4 months 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
4 months ago
I agree with Rasheeda. It makes sense that UCR would vary based on location and procedure.
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Rasheeda
4 months 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
4 months ago
I'm not sure, but I think UCR charges are what plan participants pay up front.
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Bette
4 months ago
I agree with Andra, it's about normal charges for medical procedures.
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Andra
4 months ago
I think UCR are charges determined by insurance carriers.
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