Prior authorization definitions

Prior authorization

Prior authorization is a process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication. The process is intended to act as a safety and cost savings measure, although it has received criticism from physicians for being costly and time consuming. == Overview == Pri...
Found on http://en.wikipedia.org/wiki/Prior_authorization

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prior authorization

See predetermination.
Found on http://www.ada.org/glossaryforprofessionals.aspx

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Prior authorization

Prior authorization: In pharmacy, a cost-containment procedure that requires a prescriber to obtain permission to prescibe a medication prior to prescribing it. Also called prior approval.
Found on http://www.medterms.com/script/main/art.asp?articlekey=40304

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prior authorization

In the context of a pharmacy benefit management (PBM) plan, a program that requires physicians to obtain certification of medical necessity prior to drug dispensing. Also known as a medical-necessity review See also precertification.
Found on https://www.encyclo.co.uk/local/22557

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prior authorization

the process of obtaining prior approval from a private or public third-party prescription insurer as to the appropriateness and coverage of a service or medication.
Found on https://www.encyclo.co.uk/local/22573

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