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is the evaluation of the medical necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilitates these under the provisions of the

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is the evaluation of the medical necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilitates these under the provisions of the applicable health benefits plan. O A. MSA OB. Utilization management OC. Managed care OD. Preventative care

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