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AHIP Exam AHM-540 Topic 2 Question 94 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 94
Topic #: 2

[All AHM-540 Questions]

The paragraph below contains two pairs of terms or phrases enclosed in parentheses. Select the term or phrase in each pair that correctly completes the paragraph. Then select the answer choice containing the two terms or phrases you have chosen.

TRICARE enrollees have the right to challenge authorization and coverage decisions. Such challenges are referred to as (appeals / grievances) and are typically handled by the (TRICARE contractor / Area Field Office).

Aappeals / TRICARE contractor

Bappeals / Area Field Office

Cgrievances / TRICARE contractor

Dgrievances / Area Field Office

Show Suggested Answer

Suggested Answer: A

by Dallas at Aug 06, 2024, 04:05 AM

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Lauryn

3 months ago

I think the correct answer is appeals and TRICARE contractor, because grievances are more about complaints rather than challenging decisions.

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Precious

3 months ago

This question is a real TRICARE-breaker! I'm just going to guess and hope for the best.

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Vince

2 months ago

I agree, let's go with option A.

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Gerald

3 months ago

I think it's appeals and TRICARE contractor.

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Germaine

3 months ago

I'm going with A) appeals / TRICARE contractor. Seems like the most logical choice to me.

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Quentin

4 months ago

B) appeals / Area Field Office has to be the answer. I can't believe they're trying to trick us with all these options!

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Minna

2 months ago

Let's make sure to read the question carefully before selecting our answer.

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Odette

3 months ago

I think so too, they're definitely trying to confuse us with the options.

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Raylene

3 months ago

I agree, it has to be appeals / Area Field Office.

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Gregoria

4 months ago

I'm not sure, I think it could also be grievances and Area Field Office.

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Emerson

4 months ago

D) grievances / Area Field Office sounds right to me. That's what I learned in my TRICARE training.

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Lenna

4 months ago

I think the correct answer is C) grievances / TRICARE contractor. That's how it works in my experience.

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Pamela

3 months ago

I think you might be right, but I'm leaning towards B) appeals / Area Field Office.

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Jacqueline

3 months ago

I believe the correct answer is A) appeals / TRICARE contractor.

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Johanna

4 months ago

I agree with Hollis, because appeals are about challenging decisions and TRICARE contractor handles them.

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Hollis

4 months ago

I think the correct terms are appeals and TRICARE contractor.

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