Claims
Precertification
Understanding the precertification process
What is Precertification?
Precertification, also known as prior authorization, is a process where medical procedures are approved in advance by your insurance provider. This helps ensure your treatment will be covered and can help secure direct payment arrangements.
When is Precertification Required?
Precertification is typically required for:
- Planned surgeries
- Hospital admissions
- Complex diagnostic tests
- Certain medications
- Medical equipment
How to Request Precertification
- Contact our support team
- Provide medical documentation
- Submit provider details
- Wait for approval (typically 2-3 business days)
Documentation Required
- Doctor’s prescription or recommendation
- Medical records
- Treatment plan
- Cost estimates
- Provider information