The prospective approval of healthcare based solely on medical necessity is called:
A) preapproval.
B) prior approval.
C) preauthorization.
D) precertification.

Question

Quizplus · Accepted Answer

Preauthorization is the process of obtaining approval from an insurance company or healthcare provider for certain medical procedures or services, based on a determination of medical necessity. It helps to ensure that patients receive appropriate and necessary care, while also controlling healthcare costs. Precertification, preapproval, and prior approval are all similar terms that may also be used in this context, but preauthorization is the most commonly used term.

The Prospective Approval of Healthcare Based Solely on Medical Necessity