Preauthorization/Precertification,
What Does Preauthorization/Precertification Mean?
These are terms that are often used interchangeably, but they may also refer to certain actions in the context of health insurance or healthcare systems. 1) In general, prior permission and pre-certification refers to the process by which a patient is pre-approved for coverage of certain medical procedures or prescription medications. Health insurers may require patients to meet certain criteria before extending coverage for certain surgeries or certain medications. In order to pre-approve such treatments or services, insurers usually require the patient's physician to provide records and / or laboratory findings that document the patient's condition and treatment history. 2) Pre-certification can also be considered as a procedure in which the hospital notifies the patient's admission to the health insurance company. It can also be called pre-approval.
Preauthorization/Precertification,
Preauthorization/Precertification Meanings:
Meaning of Preauthorization/Precertification: These are terms that are often used interchangeably, but they may also refer to certain actions in the context of health insurance or healthcare systems. 1) Generally, prior permission and prior confirmation refer to the process by which the patient is given prior approval for the coverage of a particular procedure or prescription. Health insurers may require patients to meet certain criteria, either to increase coverage for certain surgeries or to meet certain conditions. For prior approval of these services, insurers usually require the patient's physician to provide notices and / or laboratory results that state the patient's condition and history. 2) The term pre-certification can also be used to denote a procedure in which a person notifies the health insurance company that a patient has been admitted. It can also be called pre-approval.
