Pre-Certification in Medical Billing
Pre-certification is the process of obtaining approval from an insurance company before providing specific medical services, verifying that the treatment is medically necessary.
Pre-Certification in Medical Billing Explained
In medical billing, pre-certification is required for certain high-cost services or treatments. Providers must submit information to the insurance company to prove that the service is necessary before the insurance will agree to cover it.
For example, a surgeon obtains pre-certification for a planned surgery to ensure insurance will cover the procedure.
Discover common acronyms and abbreviations in Medical billing glossary.
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