Health insurance pre-certification is a process used to certain claims that may have significant cost or could be of questionable value.
Most elective surgery, inpatient or outpatient, should be pre-certified with your health insurance carrier before moving forward.
Your doctor will file an informational claim using the carrier pre-certification form to determine if the medical procedure might be approved for coverage. Ultimately it is YOUR responsibility to make sure the pre-certification process has been followed.
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Most elective surgery, inpatient or outpatient, should be pre-certified with your health insurance carrier before moving forward.
Your doctor will file an informational claim using the carrier pre-certification form to determine if the medical procedure might be approved for coverage. Ultimately it is YOUR responsibility to make sure the pre-certification process has been followed.