What is an example of an issue that can be disputed regarding an organization's determination?

The correct response revolves around coverage determination as a disputable issue related to an organization’s decisions. This refers to the process of deciding whether specific health services, treatments, or procedures are covered under a health plan. Disputes may arise when a patient believes that a certain service should be covered but the organization denies the claim based on its policies or interpretations of what is included as covered services.

Coverage determination is crucial because it directly impacts patient access to necessary care and involves detailed criteria that may not be universally agreed upon by all parties. Therefore, it is common for patients or healthcare providers to challenge these decisions, potentially leading to formal appeals processes.

The other options, while important in their own right, typically do not involve direct disputes regarding decisions made by the organization. Patient satisfaction reflects the experiences and perceptions of care but is more subjective and not typically a discrete, disputable determination. Service quality refers to the overall performance level of provided healthcare services but does not indicate individual determination criteria that can be challenged. Applicant eligibility involves the basic qualifications for enrollment or membership, which are usually clear-cut and defined by strict guidelines rather than subjective interpretations.