What does Prior Authorization Software mean?
Patients who seek medical care at a clinic or hospital must first obtain pre-approval from their insurance company. Only after this approval or authorization will providers be able to begin providing medical services. The purpose of the entire pre-approval process is to ensure that medical treatments are covered by insurance. Providers may lose payer reimbursements if they perform services that are not approved by payers or covered by the health plan. As a result, for full revenue cycle control, prior authorizations are required.
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