Dictionary
The Dictionary provides concise definitions of health economics terms, arranged alphabetically for quick reference. Use it to understand unfamiliar terminology or confirm the meaning of a specific term.
P
- Prior Authorization
- A utilisation management requirement mandating that a prescriber obtain payer approval before a specific treatment will be covered.
- Prior Authorization Process
- The administrative workflow through which a provider requests, and an insurer reviews and approves or denies, coverage before treatment is delivered.
- Prior Authorization Requirement
- A plan policy mandating advance insurer approval for certain treatments before they will be covered, typically for higher-cost or discretionary care.