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Access to Health Care (Health Care Reform)

Appropriate Use Criteria

The WSMA supports the use of evidence-based appropriate use criteria (AUC) by insurance companies as a requirement before payers can reject a claim and that imaging tests scored as "appropriate" by the AUC not be eligible for rejection by payers. (Res C-21 A-17));

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Abbreviations for House of Delegates report origination:

EC – Executive Committee; BT – Board of Trustees; CPA – Council on Professional Affairs; JC – Judicial Council; CHS – Community and Health Services

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