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Health plans often program into their claims processing systems certain criteria that, if unmet, will prompt further investigation of a claim. In an automated claims processing system, these criteria may signal the need for further review when, for example
A. Diagnostic codes
B. Edits
C. Durational ratings
D. Encounter reports
Answer: B

NEW QUESTION: 2
In assessing whether to accept a client for an audit engagement, a, auditor should consider the:
A. Adequacy of the preplanned audit program
B. Apparent scope limitation
C. Ability to establish consistency in application of accounting principles between years
D. Integrity of management
Answer: A

NEW QUESTION: 3
An Administrator working with a IBM Security QRadar V7.2.8 deployment is looking to add Layer-7 visibility and data collection. The current deployment is running a QRadar 3128-C Console and has 8Gbps of network traffic.
What appliance solution would give this customer the results they are looking for?
A. Adding an additional QRadar 3128-C Console
B. Adding two QRadar QFlow Collector 1301 appliances and one QRadar QFlow Collector 1202 appliance
C. Adding two QRadar QFlow Collector 1301 appliances
D. Adding a single QRadar QFlow Collector 1310 SR-C/LR-C
Answer: B

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