Review by a quality improvement organization (QIO) for specific surgical procedures and scheduled inpatient services that must be approved before being provided. Also called preprocedure review.
Insurance Encyclopedia
preadmission testing (PAT)
Treatment, tests, and procedures done 48 to 72 hours before admission of a patient into the hospital. This is done to eliminate extra hospital days.
Preamble
(i) The introduction to a treaty wording, establishing the parties to contract and the basis for operating the contract. (ii) Preamble clause: The clause in a Policy form giving the basic essentials of the contract.
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See: RECITAL CLAUSE.
Preauthorization
Requirement in some health insurance plans for a physician or provider to obtain permission for a service or procedure before it is done and to see whether the insurance program agrees it is medically necessary. Factors determining authorization are eligibility, benefits of a specific plan, and setting of care. Also called approval, authorization, or preapproval. See also precertification and predetermination.
Preauthorization check plan (Life Insurance)
A payment plan under which premiums are paid by a monthly pre-authorized bank draft.
Preauthorization of benefits provision
See: predetermination of benefits provision.
preauthorized check system (PAC)
See: automatic bill payment, check deposit billing, electronic funds transfer (EFT), and preauthorized payment.
Preauthorized checking
See: automatic bill payment, check deposit billing, electronic funds transfer system (EFTS), preauthorized check system (PAC), and preauthorized payment.
Preauthorized payment
Bank service that permits a debtor to request funds to be transferred from the customer’s bank deposit account to the account of a creditor. Also called automatic bill payment, bank check plan, check-o-matic, check deposit billing, electronic funds transfer system (EFTS), or preauthorized checking.
Precedent
In common law, previous cases are used to prove the present case. These cases are called “precedence.”