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Prior authorization information


Prior authorization is a utilization management process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication.

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Prior authorization

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Prior authorization is a utilization management process used by some health insurance companies in the United States to determine if they will cover a...

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Step therapy

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requirement, is a managed care approach to prescription. It is a type of prior authorization requirement that is intended to control the costs and risks posed...

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CoverMyMeds

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healthcare software company that creates software to automate the prior authorization process used by some health insurance companies in the United States...

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Visa policy of North Korea

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immigration inspection in North Korea. They must also seek authorization from the South Korean government prior to departure. Visitors with citizenship of the Russian...

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Health insurance

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associated. Prior Authorization: A certification or authorization that an insurer provides prior to medical service occurring. Obtaining an authorization means...

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Utilization management

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utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage...

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Return merchandise authorization

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A return merchandise authorization (RMA), return authorization (RA) or return goods authorization (RGA) is a part of the process of returning a product...

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Authorization hold

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Authorization hold (also card authorization, preauthorization, or preauth) is a service offered by credit and debit card providers whereby the provider...

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Fast Healthcare Interoperability Resources

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exchange. Proposed rules from CMS, such as the patient burden and prior authorization proposed rule (CMS-9123-P), further specify FHIR adoption for payer-to-payer...

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Mug shot of Donald Trump

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Trump campaign threatened to sue anyone who did not obtain their prior authorization. In December 2023, Trump launched a set of digital trading cards...

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Electronic System for Travel Authorization

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The Electronic System for Travel Authorization (ESTA) is an automated system that determines the eligibility of visitors to travel to the United States...

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Spain

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national referendums on the proposal of the prime minister and with the prior authorization of the Cortes Generales. The monarch may choose to accept or refuse...

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Medicare Advantage

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territories. In 2019, Medicare Advantage Organizations denied 13% of prior authorization requests that would have been accepted if the beneficiaries were...

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PayPal

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service need prior authorization from the Reserve Bank under the Payment and Settlement Systems Act, PayPal does not have our authorization." PayPal is...

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Maersk Alabama hijacking

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Captain Phillips was rescued uninjured. Commander Castellano, with prior authorization from higher authority, ordered the action after determining Phillips'...

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Employment authorization document

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A Form I-766 employment authorization document (EAD; [1]) or EAD card, known popularly as a work permit, is a document issued by the United States Citizenship...

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Clericis laicos

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papacy had been well established. The position of Boniface was that prior authorization had always been required and that the clergy had not been taxed for...

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Ban on sharia law

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pursuing complaints through the secular judicial system without prior authorization from a rabbi. And Muslims can also have their inheritance, business...

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Space Needle

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a sport known as BASE jumping. This activity is legal only with prior authorization. Four of them were part of an authorized promotion in 1996, and one...

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Green Shield Canada

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fraud and ensure that provincial coverage pays when possible, while prior authorization may be required for certain treatments. These policies can save money...

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Yitzhak Rabin

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was illegal for citizens to maintain foreign bank accounts without prior authorization. Rabin resigned on 7 April 1977, following the revelation by Maariv...

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Electronic data interchange

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verification, claim and service billing, predetermination of benefits, prior authorization, and information reporting, and is used primarily in the United States...

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Medicine

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managed care system, various forms of "utilization review", such as prior authorization of tests, may place barriers on accessing expensive services. The...

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Naturalization

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country, or applying for citizenship of another country without prior authorization for retention of citizenship. If a permanent resident is denied naturalization...

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Freedom of navigation

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However, some countries like China requires warships to attain prior authorization before they enter Chinese national waters. Transit passage refers...

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Telepharmacy

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include drug therapy monitoring, patient counseling, prior authorization and refill authorization for prescription drugs, and monitoring of formulary compliance...

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