Service Authorization definition

Service Authorization means that Open Ecosystem Partner needs to meet specific qualification requirements for the products included in a “Service” Product Family that Open Ecosystem Partner wants to promote and offer Services for as set out in detail in the Open Ecosystem Program Guide.

Service Authorization means a managed care Enrollee’s request, or a Provider’s request on behalf of an Enrollee, for the provision of services, and the MCO’s determination of the Medical Necessity for the medical service prior to the delivery or payment of the service.

Service Authorization means that Partner needs to meet specific qualification requirements for the products included in a “Service” Product Family that Partner wants to promote and offer Services for as set out in detail in the PartnerEdge Program Guide and the applicable RSPI.

Examples of Service Authorization in a sentence

• REQUIRED if applicable Service authorization (SA) Number – Enter the PA number for approved services that require a service authorization.NOTE: The locators 24A thru 24J have been divided into open areas and a shaded line area.

• Service authorization requests are categorized as standard, extended standard, expedited, or extended expedited authorizations.17 Plans are specifically prohibited from requiring prior authorization for emergency services; however, prior authorization for specific Medicaid services or benefits may be applicable for services with higher utilization or higher costs.

• Care Plan Linkage to Prior Authorization/Utilization Management Service authorization requests may be identified and requested in the ICP by the Enrollee, a Provider, or any Member of the Enrollee’s ICT as part of Person-Centered Planning.

More Definitions of Service Authorization

Service Authorization means the process of service necessity determination and service authori- zation of scope, amount and duration by the review organization.

Service Authorization. A Member’s request for the provision of a service.

Service Authorization means the process of determining service necessity and the level of care and number of units of service to be provided to a child.

Service Authorization means a process through which a request for provisional approval of coverage is submitted to the Contractor or the Department for review.

Service Authorization. A managed care Member’s request for the provision of services

Service Authorization means the approval required from the designated authority for reimbursement for certain Medicaid services.

Service Authorization. The Health Plan’s approval for services to be rendered. The process of authorization must at least include a Health Plan Enrollee’s or a Provider’s request for the provision of a service.