Prior authorization, also known as preauthorization or precertification, is a cost-control process used by health plans. It requires physicians and other healthcare providers to obtain advance approval from the health plan before delivering a specific service to the patient. This step is essential to ensure that the service qualifies for payment coverage.

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At Bedrock TPA, prior authorization is required for all upcoming procedures. This process helps ensure that services are covered and reimbursed according to the patient’s health plan.