Precertification

This is an important process. It is approval a person gets for care before he or she receives the care. This helps people know if the care is covered by a health plan. People should check with their plan to see what kind of service needs this approval.
This can also be called:
•precertification*
•authorization
•certification
•prior authorization.

*In Texas, this approval is known as “pre-service utilization review” and is not “verification” as defined by Texas law.

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