precertification

precertification,

authorization for a specific medical procedure before it is done or for admission to an institution for care. It is required for payment by most U.S. managed care organizations.

---

precertification,

n confirmation by a third-party payer of a patient's eligibility for coverage under a dental benefits program. See also preauthorization and predetermination.

---

precertification

Preadmission certification review, precert Managed Care The obtaining of authorization from a managed health plan for routine inpatient hospital admissions or outpatient therapy. See Capitation, Virtual capitation, 'Withhold.'.