Predetermination Definition Medical

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Predetermination | definition of predetermination by …

https://medical-dictionary.thefreedictionary.com/predetermination

(111) The court, defining "predetermination" as occurring only when an agency "irreversibly and irretrievably commits itself to a plan of action that is dependent upon the NEPA environmental analysis producing a certain outcome," (112) makes it clear that …

Health Insurance Terms: What is a predetermination?

https://connect.bcbstx.com/understanding-benefits/b/weblog/posts/health-insurance-terms-what-is-a-predetermination

A predetermination of benefits is a review by your insurer’s medical staff. They decide if they agree that the treatment is right for your health needs. …

Difference Between Predetermination and Prior Authorization

https://www.outsourcestrategies.com/blog/predetermination-vs-prior-authorization/

A predetermination is a formal review of a patient’s requested medical care compared to their insurance’s medical and reimbursement policies (MGMA). …

Predetermination Definition & Meaning - Merriam-Webster

https://www.merriam-webster.com/dictionary/predetermination

Synonyms of predetermination. 1. : the act of predetermining : the state of being predetermined: such as. a. : the ordaining of events beforehand. b. : a fixing or settling …

Understanding Predetermination - BCBSIL

https://www.bcbsil.com/PDF/sprint_understanding_predetermination.pdf

“Predetermination” is a review by Blue Cross and Blue Shield of Illinois (BCBSIL) of a doctor’s recommended medical procedure, treatment or test to make sure it meets …

Recommended Clinical Review (Predetermination) | Blue Cross …

https://www.bcbsil.com/provider/claims/claims-eligibility/utilization-management/predetermination

What is recommended clinical review (predetermination)? A recommended clinical review (formerly called predetermination) is a medical necessity review conducted before …

Predetermine | definition of predetermine by Medical …

https://medical-dictionary.thefreedictionary.com/predetermine

pre·de·ter·mi·na·tion ( prē'dĕ-tĕr'mi-nā'shŭn) Determination of the reimbursement amount from a third-party payor before a health care service is performed. It does not guarantee …

Referral, predetermination, authorization, precertification: What's …

https://www.mgma.com/resources/operations-management/guide-to-closing-a-private-equity-transaction-pre

Is it an authorization or a precertification? Per Healthcare.gov, a decision by your health insurer or plan that a health care service, treatment plan, prescription drug or …

What Is a Pre-Determination Letter for Health Insurance?

https://budgeting.thenest.com/predetermination-letter-health-insurance-32746.html

A pre-determination letter is a letter or form sent from a medical provider, such as a doctor or surgeon, to a patient's health insurance carrier to determine if the planned services will …

Predestination Definition & Meaning - Merriam-Webster

https://www.merriam-webster.com/dictionary/predestination

pre· des· ti· na· tion (ˌ)prē-ˌdes-tə-ˈnā-shən 1 a : the act of predestining b : the state of being predestined 2 : the doctrine that God has predestined some persons to eternal happiness …

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