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prior authorization Managed care procedure to control utilization of services by review and approval of a medical service. See also preauthorization.
Ãâó: www.insurance.wa.gov/consumers/glossary.asp
prior authorization Authorization given by insurer, payor, or agent authorizing the provision of the services.
Ãâó: www.payorid.com/glossary.asp
prior authorization The approval by an insurer or other third-party payor of a health care service before the service is rendered. This approval is required in order for the insurer to pay the provider for the service.
Ãâó:
prior authorization A formal process requiring a provider obtain approval to provide particular services or procedures before they are done. This is usually required for nonemergency services that are expensive or likely to be abused or overused. A managed care organization will identify those services and procedures that require prior authorization, without which the provider may not be compensated.
Ãâó: www.hopkins-aids.edu/manage/glossary_m.html
prior authorization A cost containment measure which provides full payment of health benefits only when the hospitalization or medical treatment has been approved in advance.
Ãâó: www.ehealthinsurance.org/org/Glossary6.html
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