About: Prior authorization

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Prior authorization is a utilization management process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication. The process is intended to act as a safety and cost-saving measure although it has received criticism from physicians for being costly and time-consuming.

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  • Prior authorization is a utilization management process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication. The process is intended to act as a safety and cost-saving measure although it has received criticism from physicians for being costly and time-consuming. (en)
  • 事先授權（英語：Prior authorization）是美國一些醫療保險公司採用的使用管理流程，對醫療系統預定要提供的療程、服務、或是藥物，事先必須經保險公司（付款人）同意，之後理賠申請才會被接受。這種流程的目的是為顧及安全，以及節省成本。但因為這種做法成本高昂，而且耗費時間，而受到醫生的批評。 (zh)
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  • Prior authorization is a utilization management process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication. The process is intended to act as a safety and cost-saving measure although it has received criticism from physicians for being costly and time-consuming. (en)
  • 事先授權（英語：Prior authorization）是美國一些醫療保險公司採用的使用管理流程，對醫療系統預定要提供的療程、服務、或是藥物，事先必須經保險公司（付款人）同意，之後理賠申請才會被接受。這種流程的目的是為顧及安全，以及節省成本。但因為這種做法成本高昂，而且耗費時間，而受到醫生的批評。 (zh)
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  • Prior authorization (en)
  • 事先授權 (zh)
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