predetermination

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predetermination

Managed care A requirement for prior approval from a health insurer before it will pay for a proposed treatment. See Red tape rationing.

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 coverage.

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 still does not guarantee coverage.