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What Is Prior Authorization?
What Is Prior Authorization? Prior authorization is a healthcare insurance requirement that requires providers to obtain approval from an insurance company before certain medical services, procedures, medications, imaging studies, or treatments can be performed. Insurance companies use prior authorization as a cost-control and medical review process to determine whether a service meets coverage guidelines and
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What Is Prior Authorization in Healthcare? A Beginner’s Guide
Introduction Prior authorization is a common process used by insurance companies to determine whether certain medical services, treatments, medications, or procedures are medically necessary before they are approved for coverage. Healthcare providers often must obtain approval from the insurance company before services can be performed. Without authorization, claims may deny and providers may not receive