Prior authorization request definition

Prior authorization request means a request for pre-approval from an insurer for a specified prescription or quantity of a prescription before the prescription is dispensed.
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Prior authorization request means a Service Authorization Request by the Enrollee, or a provider on the Enrollee’s behalf, for coverage of a new service, whether for a new authorization period or within an existing authorization period, before such service is provided to the Enrollee.
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Prior authorization request means a method by which practitioners seek approval from Contractor to render medical services. The Contractor's Utilization Review (UR) Coordinator is responsible for granting approval to providing specific, non-emergency medical services in advance of rendering such services.
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Examples of Prior authorization request in a sentence

  • Prior Authorization Request is a Service Authorization Request by the Enrollee, or a provider on the Enrollee’s behalf, for coverage of a new service, whether for a new authorization period or within an existing authorization period, before such service is provided to the Enrollee.

  • The Enrollee may request expedited review of a Prior Authorization Request or Concurrent Review Request.

Related to Prior authorization request

  • Service Authorization Request means a Provider’s or Enrollee’s request to the Contractor for the provision of a service.

  • Prior authorization means that we must approve the Services in advance in order for the Services to be covered.

  • Information Request means a request for any Information under the FOI Legislation.

  • Utilisation Request means a notice substantially in the form set out in Schedule 3 (Utilisation Request).

  • Interconnection Request means a Generation Interconnection Request, a Transmission Interconnection Request and/or an IDR Transfer Agreement.

  • Credit Event Resolution Request Date means, with respect to a notice to ISDA requesting that a Credit Derivatives Determinations Committee be convened to resolve:

  • Certification Requirements means those requirements specified or referenced in this Agreement that you must meet in order to use and maintain the Certification Designation and use the Logo in accordance with the terms of this Agreement.

  • Extension Request has the meaning provided in Section 2.20(a).

  • Corporation Request and "Corporation Order" mean, respectively, the written request or order signed in the name of the Corporation by its Chairman of the Board of Directors, its Vice Chairman of the Board of Directors, its President or a Vice President, and by its Treasurer, an Assistant Treasurer, its Secretary or an Assistant Secretary, and delivered to the Trustee.

  • Authorization Letter means a letter agreement executed by Borrower in the form of EXHIBIT A.

  • Request for Proposals (RFP means all documents, including those attached or incorporated by reference, used for soliciting proposals.

  • Bid Submission Requirement means a task a Prospective Contractor must complete when submitting a bid response. These requirements will be distinguished by using the term “shall” or “must” in the requirement.

  • Request for Proposal or “RFP” means all documents, including those attached or incorporated by reference, used for soliciting proposals.

  • Authorization Form means a form specified in s. 440.73.

  • 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.