You are working at a practice and need to get prior approval from a payer. Which of the following HIPAA transactions would you use to do so?
A) Referral Certification and Authorization
B) Eligibility for a Health Plan
C) Coordination of Benefits
D) Health Care Payment

Question

Quizplus · Accepted Answer

The Referral Certification and Authorization transaction is used to obtain approval from a payer before providing services, which is necessary for prior approval processes.

You Are Working at a Practice and Need to Get