
Prior-Authorization Questions for Opioid Rehab in California
Prior authorization is an insurer's review before it agrees that a requested service meets the plan's coverage rules. It is not the same as a clinical recommendation, admission decision, guarantee of payment, or promise that a bed is available. A facility may consider someone for admission while an insurer is still reviewing coverage, and an insurer may authorize a service that a particular facility cannot currently provide. Keep those decisions in separate columns.
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