Examples of Prior Authorization in a sentence
Emergency Service care does not require any Prior Authorization from the Plan.
The health care professional, however, may be required to comply with certain procedures, including obtaining Prior Authorization for certain services, following a pre-approved Treatment Plan, or procedures for making referrals.
Unlisted Codes That Do Not Require Prior Authorization or Additional Supporting DocumentationFor a limited group of unlisted procedure codes, ForwardHealth has established specific policies for their use and associated reimbursement.
Please see Prior authorization in Referrals and Prior Authorization for more information about prior authorization requirements and processes.
Prior Authorization and Review Procedures:Contractor shall ensure that its pre-authorization, concurrent review and retrospective review procedures meet the following minimum requirements…(as required by Contract)2-Plan Contract A.5.2.A, B, D, F, H, and I.