Pre-Determination in Medical Billing
Pre-determination refers to a review conducted by an insurance company to confirm whether a specific service will be covered under the patient’s policy.
Pre-Determination in Medical Billing Explained
In medical billing, pre-determination is often used for elective or non-urgent procedures. It provides the patient and provider with information about what the insurance will cover before the service is rendered, preventing unexpected costs.
For example, a patient seeks pre-determination from their insurer to confirm coverage for a cosmetic surgery.
Explore acronyms and abbreviations in Medical billing glossary.
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