BC Advantage - 2023 Issue 11

Decoding the Maze: Navigating Prior Authorization in Healthcare

Picture this: You're at a hospital, and amidst the stress of an upcoming procedure, you're swamped with paperwork and concerns about the treatment's financial aspect. This scenario is all too common, and at its core often lies the concept of prior authorization. As the healthcare sector evolves, managing aspects like prior authorization and benefit verification has become paramount. Why? Let's embark on this journey to understand more. Decoding Prior Authorization: What Is It? In essence, prior authorization is a checkpoint. It's where insurance companies require healthcare providers to obtain approval before rendering specific services to patients...

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