Prior Approval definition

Prior Approval means the process of obtaining authorization from VIVA HEALTH prior to dispensing certain Prescription Drugs. The Participating Physician obtains Prior Approval from VIVA HEALTH or its designee for any Prescription Drug which appears on the list of Prescription Drugs requiring Prior Approval. Prior Approval includes approving the place of service as well as the Prescription Drug. The list of Prescription Drugs requiring Prior Approval and approval criteria are subject to periodic review and modification.
Prior Approval means written ap- proval by an authorized official evi- dencing prior consent.
Prior Approval means written approval by an authorized member of DHS management evidencing prior consent.

Examples of Prior Approval in a sentence

All Health Interventions receiving Prior Approval must still meet all other coverage terms, conditions, and limitations.

For more information about pre-service claims and Prior Approval, please see Subsection 7.1.3.b.

Failure of the Member’s treating Provider to submit a pre-service claim for Prior Approval will result in denial of coverage.

Failure of the Covered Person’s treating Provider to submit a pre-service claim for Prior Approval will result in denial of coverage.

See the section on Costs Requiring Prior Approval in the Financial Guide, for more information.


More Definitions of Prior Approval

Prior Approval means documentation evidencing consent prior to incurring specific costs.
Prior Approval means that approval for the assumption by the Commission of the whole, or partial, financial responsibility for certain treatment must be given by the Commission before that treatment is commenced or undertaken.
Prior Approval means written approval by an authorized official evidencing prior consent.
Prior Approval means written approval by an authorized member of DHS management evidencing prior consent. “Profit” means an entity’s total revenue less its operating expenses, interest paid, depreciation, and taxes. “Profit” is synonymous with “Net Revenue.”
Prior Approval means review and written approval by the Department of any Contractor materials or actions, as set forth in the Contract, including subcontracts, intended courses of conduct, or procedures or protocols that Contractor must obtain before such materials are used or such actions are executed, implemented, or followed.