
VBM 24/03/2026
Quiz by Blessing
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You find an OR consultant for a Guided Care customer, but every facility they work at is outside the customer’s hospital network. What is the correct next step?
Which of the following is the only scenario where you may drop both the hospital network and OR rules simultaneously?
A consultant-to-consultant referral is covered even if the second consultant is non‑OR and the treating facility is out of network.
If a customer chooses to use a hospital out of network by preference, what is the correct response?
Consultants often work at multiple hospitals, so you must specify which in-network hospital the customer should attend.
A customer needs an MSK Physician. Finder shows:
1 OR endocrinologist in-network, 16 miles away
2 non‑OR endocrinologists in-network, 12 miles away
4 OR endocrinologists out of network, 3 miles away**What is correct?