Before certain procedures or visits can be made, some insurance policies require which of the following?

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Quizplus · Accepted Answer

Preauthorization is often required by insurance policies before certain procedures or visits can be made, in order to ensure that the procedure is medically necessary and covered by the policy. Predetermination is a similar process, but it typically applies to more complex or expensive procedures. Preregistration refers to the process of providing personal information to a healthcare facility prior to receiving medical care, while claim review is a process used by insurance companies to evaluate submitted claims for accuracy and appropriateness of coverage.

Before Certain Procedures or Visits Can Be Made, Some Insurance