There are a number of reasons why your insurance company may require certain medications be reviewed and approved before your plan covers them. The prior authorization process gives your health insurance company a chance to review how necessary a certain medication may be in treating your medical condition. Why authorizationRead More →
Authorization in medical billing refers to the process wherein the payer authorizes to cover the prescribed services before the services are rendered. This is also termed as pre-authorization or prior authorization services. What are the types of authorization in medical billing? In the medical billing world, preauthorization, prior authorization, precertification,Read More →
Retroactive authorizations are given when the patient is in a state (unconscious) where necessary medical information cannot be obtained for preauthorization. In such cases, many insurance providers require authorization for services within 14 days of services provided to the patient. How do I get retro authorization? Call 1-866-409-5958 and haveRead More →