Pre-Authorization definition

Pre-Authorization means the process by which, upon written request submitted with supporting medical evidence, the employer or insurance carrier agrees to pay for a proposed medical procedure or treatment. 21 V.S.A. §640b. See Rule 7.0000.

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Pre-Authorization means a process by which the NWH obtains written approval for certain medical procedures or treatments for the eligible beneficiaries, from the Trust and is mere approval of eligibility of the case for assistance under the Scheme(s).

Pre-Authorization means the process of obtaining approval for certain Prescription Drugs (prior to dispensing) according to AvMed’s guidelines. The prescribing physician must obtain approval through AvMed’s Pre-Authorization process. The list of Prescription Drugs requiring Pre-Authorization is subject to periodic review and modification by AvMed. A copy of the list of medications requiring Pre-Authorization and the applicable criteria are available from Member Services or from the AvMed website.

Examples of Pre-Authorization in a sentence

• Turn Around Time (TAT) for issue of Pre-Authorization within 6 hours from receipt of complete documents In Case of Claim Contact Us at: 24x7 Toll Free number: ▇▇▇▇ ▇▇▇ ▇▇▇▇ or may write an e- mail at ▇▇▇▇@▇▇▇▇▇.▇▇▇ In the event of claims, please send the relevant documents to: Family Health Plan (TPA) Ltd, Srinilaya – Cyber Spazio Suite # 101,102,109 & ▇▇▇, ▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇ ▇▇.

• In case a reimbursement claim is received when a Pre-Authorization letter has been issued, before approving such claim a check will be made with the provider whether the Pre- authorization has been utilized as well as whether the Policyholder has settled all the dues with the provider.

• You hereby warrant and guarantee that all persons whose signatures are required on the Account identified have duly authorized or executed the Pre-Authorization Debit Request Authority.

• All inpatient admissions related to mental health and substance use disorders require Pre-Authorization, unless the patient is involuntarily committed.

• Pre-Authorization review is the process of reviewing certain medical, surgical, and behavioral health services, items, and interventions to ensure medical necessity and appropriateness of care are met before services are received.

More Definitions of Pre-Authorization

Pre-Authorization. A written or electronic approval by the INSURER to the beneficiary granting authorization for a benefit to be provided under the Special Coverage of the program. The beneficiary is responsible for obtaining the preauthorization for coverage in order to receive covered benefits that require it. Failure to obtain pre-authorization precludes coverage. Notwithstanding the aforementioned, the INSURER has the option of not requiring pre-authorization for all services received within a particular HCO.

Pre-Authorization means a requirement by a carrier or health-insurance plan that providers submit a treatment plan, service request, or other prior notification to the carrier for evaluation of appropriateness of the plan or if the service is medically necessary before treatment is rendered. Pre-authorization lets the insured and provider know in advance which procedures and pharmaceuticals are considered by the insurer to be medically necessary.

Pre-Authorization means an electronic or voice process used by the Merchant to block or freeze certain funds on the Card for a subsequent Payment Transaction without immediately posting the transaction.

Pre-Authorization means the written prior Approval of the Insurer, required for all hospital

Pre-Authorization means a temporary freeze of a specific amount from the available balance on a Card, which is performed by the Merchant prior to the completion of the transaction for the delivery of goods or performance of services.

Pre-Authorization means the written prior approval of the Company, required for all inpatient and outpatient occurrences as determined by the Company.

Pre-Authorization means the restriction placed on a specified healthcare service under the benefits package offered by the Authority which obligates the healthcare provider or health facility to seek permission from the Authority before providing the specified healthcare service for purposes of determining whether a beneficiary’s cover caters for the costs of the healthcare service sought;