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.

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.

Examples of Pre-Authorization in a sentence

To confirm eligibility prior to purchasing or renting equipment, submit a Pre-Authorization Form to GSC.
This requires the submission of a completed Pre-Authorization Request form to GBG Assist a minimum of five business days prior to the scheduled procedure or treatment date.
Either you, your doctor, or your representative must call the number listed on the back of the Medical Identification Card to obtain Pre-Authorization and verification of Network utilization.
Pre-Authorization approval does not guarantee payment of a claim in full, as additional Copayments and Out-of- Pocket expenses may apply.
Certain medical procedures will require the Pre-Authorization process to be followed in order for the service to be covered and to maximize the benefits of the Insured Person.

More Definitions of Pre-Authorization

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

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.

Pre-Authorization means authorization from the Claims Administrator that a Physician/Provider must obtain prior to rendering certain services.

Pre-Authorization. Many insurance companies, including worker’s compensation carriers, require pre-authorization and/or referrals prior to obtaining specialty care. It is your responsibility to contact your insurer AND/OR Primary Care Physician to determine the need for a referral and/or pre-authorization. Failure to obtain a referral and/or preauthorization may result in lower reimbursement or claim denial from the insurance company.

Pre-Authorization means a process by which an Insured Person obtains written approval for certain medical procedures or treatments, from Trust and is mere approval of eligibility of the case for assistance under Scheme.

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