preauthorization
Prior approval needed
Preauthorization is approval obtained before a service or transaction occurs.
In healthcare, insurance companies require preauthorization for certain procedures, medications, or treatments before they'll agree to cover costs: The surgery requires preauthorization from your insurer.
In banking, a preauthorization is a temporary hold placed on funds to verify a card is valid before the final charge.
Advance approval from insurer
- approvalFavorable opinion given
- coverageExtent of inclusion
- eligibilityState of meeting criteria
- claimsStatements of truth
benefits · deductible · copayment · premiums · provider · network · HMO · PPO
Voluntary agreement given
- clearancePermitted passage or approval
- permissionGranted right to act
- validationConfirming truth or accuracy
- confirmationEstablishing something as true
endorsement · greenlight · certification · sanction · agreement · acceptance · verification · documentation
precertification
Advance approval from insurer
- approvalFavorable opinion given
- coverageExtent of inclusion
- eligibilityState of meeting criteria
claims · benefits · deductible · copayment · premiums · provider · network · HMO · PPO · denial
consent
Voluntary agreement given
- clearancePermitted passage or approval
- permissionGranted right to act
- validationConfirming truth or accuracy
confirmation · endorsement · greenlight · certification · sanction · agreement · acceptance · verification · documentation · request
credit
Recognition or payment deferral
- transactionExchange of goods/money
- holdMaintain in grasp
- verificationProving something accurate
card · merchant · bank · funds · limit · charge · pending · reserve · deposit · payment
procedure
Prescribed sequence of actions
specialist · diagnosis · hospital · admission · prescription · therapy · imaging · MRI · inpatient · outpatient
- medicinedoctor, doctors, hospital, medicine, surgery
- dental insurancecoverage, premium, premiums, deductible, deductibles
- health insurancepremium, deductible, copay, coverage, health insurance card
- insurance termspremiums, full coverage, monthly premium, deductibles, payout
- Medical RegulationsHIPAA, FDA, FDA approval, drug approval, medical boards
- utilization reviewprecertification, medical necessity, clinical guidelines, approval, length of stay
preauthorizationdenial
Refusal to accept reality
rejection · disapproval · refusal · disallowance · veto
author, authority, authorize, authorized, unauthorized, authoritative, authorization, authorizing, authorizes