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NEW QUESTION: 1
치과 보험사에서 전자 청구 제출 프로세스를 구현했으며 치과 의사가 제공되지 않은 서비스에 대한 청구를 제출하는 것에 대해 우려하고 있습니다. 다음 유형의 사기를 예방하는 데 가장 효과적인 제어 절차는 무엇입니까?
A. 통합 테스트 시설을 개발하고 허위 주장을 제출하여 시스템이 그러한 주장을 일관성 있게 감지하고 있는지 확인하십시오.
B. 제출된 모든 클레임 뒤에 청구된 절차가 수행되었다는 사실을 증언하는 치과 의사가 서명한 진술서를 제출해야 합니다.
C. 치과 의사에게 보험 회사에 제출된 청구의 정확한 성격을 확인하도록 요청하는 확인서를 보냅니다.
D. 피보험자 연령에 따른 기대치를 초과하거나 최근에 개인에 대해 수행 된 다른 절차와 유사한 개인에 대해 수행 된 절차를 식별하는 프로그램을 개발하십시오.
Answer: D
NEW QUESTION: 2
A. Option C
B. Option D
C. Option B
D. Option A
Answer: C
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