preauthorization
Medical term Administrative Assisting
A plan's advance decision that a service, drug or equipment is medically necessary; also called prior authorization.
Related terms
- medically necessaryServices or supplies needed to prevent, diagnose or treat an illness, injury or condition and that meet…
- Medicare Part DMedicare prescription drug coverage.
- networkThe providers and facilities a health plan has contracted with to provide care.
- no-showA patient who misses a scheduled appointment without canceling.
- out-of-pocket limitThe most a patient must pay for covered services in a plan year; after that the plan pays 100 percent.
- premiumThe amount paid, often monthly, to buy and keep health insurance.
- primary insuranceThe plan that pays a claim first when a patient has more than one; the secondary plan then considers the…
- problem-oriented medical recordA record organized around the patient's problems, often with SOAP notes.
- SOAP noteA documentation format: Subjective, Objective, Assessment, Plan.
Study Administrative Assisting