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Understanding Healthcare
What is Pre-Authorization and Why is it Important?
What is Pre-Authorization and Why is it Important?Now, a Health Minute.Health plans sometimes require preauthorization for certain treatments or procedures. This is also called priorapproval or precertification.It means a healthcare provider needs approval from the health plan before a patient can get certain medicalcare.Preauthorization makes sure the treatment or procedure is needed. It also checks if the health plan covers it. Ifyou don’t get preauthorization when needed, your plan won’t cover the care.Preauthorization is not needed in an emergency. It doesn’t guarantee payment from your health plan. You’llstill have to pay your share of the cost.Check with your health plan to see when you may need preauthorization. Work with your healthcare provider toget it.This program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness,or suitability of this video for medical decision making. For all health related issues please contact your healthcare provider.© The Wellness Network
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