insurance authorization


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authorization

 [aw″ther-ĭ-za´shun]
permission.
insurance authorization in the nursing interventions classification, a nursing intervention defined as assisting the patient and provider to secure payment for health services or equipment from a third party.
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The staff also tries to go the extra mile for patients when they run into problems getting insurance authorization for medications and tests.
Fees: Initial insurance authorization fee: 1,500 [pounds sterling].
For example, a level-four office visit may generate $80 in costs--also known as practice expenses--in the form of medical records management, obtaining insurance authorization, billing patients, and office coordination.
For example, we found surgical practices in which nearly two full time equivalent positions per surgeon were needed to obtain insurance authorizations. The insurance authorization practice function is expected to be a significant expense only in practices with a large proportion of elective procedures and managed care payers.

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