What is PreAuthorization & Pre Certification?
While providing the treatment to patients, providers need to perform some services that they cannot perform without letting the patient’s insurance know about the treatment plan and get approvals from them of such services in advance. The growth of medical aid organizations as the first paid healthcare provider has introduced prior authorization and pre-certification ideas for the language of the health insurance language. The purpose of both practices is to reduce unnecessary costs by forcing the payer to agree that the service is medically necessary before the payment is made. We have trained team of authorization agents for technical and non-technical authorization and certification processing.