Pre-Certification

You call your insurance company and advise them that your doctor says you require certain medical treatment. You do this before receiving treatment from the doctor or hospital. A policy of insurance will normally list the medical conditions that require pre-certification before receiving treatment. If you do not pre-certify, your benefits will be reduced or possibly will not be covered. Each policy will have the requirements listed for things that must be pre-certified. If you are not sure, then call the Plan Administrator and they will advise you.

See Also: Portability; Point-of-Service (POS) Plan; Personal Lines; Peril; Partnership insurance; Paramedical Report; Progressive insurance; Promulgate; Probability;

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