pre-authorization

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Definition of pre-authorization in English English dictionary

preauthorization
Preauthorization of benefits is prior written approval of benefits for certain services such as organ transplants, subsequent purchases of home medical equipment, physical rehabilitation and other services specified under the contract This preauthorization is based on the terms of the benefits contract and on the information submitted to Blue Cross and Blue Shield of Nebraska Preauthorization may be effective for a limited period of time The covered person should encourage the provider to request preauthorization, in order to determine whether benefits for certain services are payable
preauthorization
A method of monitoring and controlling utilization by evaluating the need for medical service prior to it being performed
preauthorization
The approval, in advance, of a POS Transaction up to a specified dollar amount by a CAS to guarantee funds for a purchase of goods or services to be completed at a later time
preauthorization
Preauthorization is a request to the insurance company for approval of benefits prior to treatment Hospitals and certain medications are some of the types of services requiring preauthorizations Failure to receive preauthorization can result in reduced or denied benefits
preauthorization
A cost containment feature of many group medical policies whereby the insured must contact the insurer prior to a hospitalization or surgery and receive authorization for the service
preauthorization
The health plan’s approval that a requested hospital admission, treatment or procedure is a covered service and is medically necessary and appropriate Managed care organizations often require that a member or insured individual obtain prior authorization from the health plan before a hospital admission or selected health care services, treatment or procedure will be covered See also prior authorization or prior approval
preauthorization
The process in which, before a patient can be admitted to the hospital or receive other types of specialty services, the managed care company must approve the service in order to cover it
preauthorization
Previous approval for specialist referral or non emergency health care services
preauthorization
A Plan's prior approval is required for treatments or services, most often in an HMO or POS plan
preauthorization
A system whereby payers evaluate the need for medical services before they are performed Preauthorization is designed to curb overutilization
preauthorization
Services which need preapproval by the insurance company A common requirement is to call prior to hospital admission Failure to do so can result in penalties
pre-authorization
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