Get information about Aetna’s precertification requirements, including precertification lists and criteria for patient insurance preauthorization.

However, many health plans require pre-certification (also known as prior authorization) and sometimes predetermination of medical necessity prior to care being rendered. In addition, some services may …

Apr 4, 2025 · Also known as pre-authorization or prior authorization, pre-certification is a key step in managing healthcare costs and coverage. Insurance companies use this process to evaluate …

Feb 27, 2025 · Health insurance companies often require approval before covering certain medical procedures, a process known as precertification. This ensures treatments are medically necessary …

Precertification (also called prior authorization) is when health care providers ask us for approval before giving certain medical services, treatments, or medications.

May 2, 2025 · Precertification is when a healthcare provider must obtain approval from a health insurance company before delivering a specific service. This step ensures that the proposed service …

Mar 10, 2025 · Pre-certification is key for health insurance. It decides if a medical procedure is needed before treatment starts. Pre-certification differs from prior authorization. It covers elective surgeries …

Precertification and preauthorization are often used interchangeably, but they have distinct meanings in the healthcare industry. Precertification is a process that ensures a patient's insurance coverage for …

Pre-certification, also known as pre-authorization or prior authorization, is an essential process in healthcare revenue cycle management. It involves obtaining approval from a patient's insurance …

Prior authorization, also known as pre-authorization or pre-certification, allows health insurance plans to review proposed care ahead of time, confirm that coverage for the service is available under the …