What is “pre-authorization” in medical billing?

Pre-Authorization in Medical Billing

Pre-authorization refers to the process of getting approval from an insurance company before certain medical services are provided to ensure they will be covered.

Pre-Authorization in Medical Billing Explained

In medical billing, pre-authorization is required for certain procedures, medications, or treatments. Without pre-authorization, the insurance company may deny the claim, leaving the patient responsible for the full cost.

For example, a provider obtains pre-authorization for an MRI to ensure it will be covered by the patient’s insurance.

Learn more about common acronyms and abbreviations in Medical billing glossary.

  • Years in Business
  • Social Signals

Leave a Reply

Your email address will not be published. Required fields are marked *

error: Content is protected !!
This site uses cookies to offer you a better browsing experience. By browsing this website, you agree to our use of cookies.