Prior Authorization in Medical Billing
Prior authorization is the process of getting approval from an insurance company before performing a service to confirm that it will be covered.
Prior Authorization in Medical Billing Explained
In medical billing, prior authorization is required for certain procedures, tests, or medications. If prior authorization is not obtained, the insurance company may deny the claim, leaving the patient responsible for the entire cost.
For example, a provider requests prior authorization for a specialized test to ensure the insurance company will cover it.
Check acronyms and abbreviations in Medical billing glossary.
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