preauthorizes
Preauthorizes refers to a process where a healthcare provider or patient requests approval from an insurance company before receiving certain medical services or treatments. This is often done for procedures, medications, or durable medical equipment that are considered non-emergency, expensive, or require specific medical necessity documentation. The purpose of preauthorization is to ensure that the proposed service is medically appropriate and covered by the patient's insurance plan, thereby helping to prevent unexpected out-of-pocket costs for the patient and potential claim denials for the provider.
The preauthorization process typically involves the healthcare provider submitting a request to the insurance company, including