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.
Tag: RAW
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.”