QuestionQ270

Chapter 4: Test Analysis and Design

A health-insurance system determines whether to fully approve (F), partially approve (P), or reject (R) a claim based on several factors, as specified in the following decision table.

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You create a test case from this decision table. For the first test case, you have already specified these preconditions and input data:

  • The policy covers hospitalization, emergency services, and surgical procedures.
  • The policy limit is $1,000,000.
  • The client is an active policyholder with no history of fraudulent claims.
  • The client’s claim concerns rehabilitation and post-surgery care.
  • The client has provided all required documentation.

Which decision-table columns can this test case cover?

  • A Only column 3
  • B Only columns 3, 4, and 5
  • C Only columns 4 and 5
  • D Only columns 1, 2, 3, and 6
Explanation

Rehabilitation and post-surgery care are not covered by a policy limited to hospitalization, emergency services, and surgical procedures. With an active policyholder and no fraud history, this matches the rule where treatment is not covered, which rejects the claim; the amount and documentation conditions are not relevant to that rule.

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