The No Surprises Act uses the term medical management, so this IG will keep the same terminology to reduce potential confusion. "In the case such item or service is subject to a medical management technique (including concurrent review, prior authorization, and step-therapy or fail-first protocols) for coverage under the plan or coverage, a disclaimer that coverage for such item or service is subject to such medical management technique." 29 U.S. Code § 1185e (f)(1)(F)   The MRI Scenario describes a business process that does not address the technical interactions, such as token. The technical processes are defined elsewhere on the same page and other referenced requirements such as the such as the Security and Privacy section of the Da Vinci HRex IG.