Final answer:
Under prospective utilization review, complex and costly cases are referred to appropriate specialists for further evaluation and management.
Step-by-step explanation:
The subject of this question is Health at the College level.
Under prospective utilization review, if a case is determined to be potentially complex and costly, it is referred to appropriate specialists for further evaluation and management. This is done to ensure that the case receives the necessary expertise and resources to address its complexity in an efficient manner.
In addition to appropriate specialists, other possible steps in a prospective utilization review process may include case management and concurrent utilization review to ensure that the utilization of resources is optimal and aligned with the patient's healthcare needs.