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Process in American health insurance
Prior authorization, or preauthorization, is a utilization management process used by some health insurance companies in the United States to determine
Prior_authorization
American medical benefits management company
company reviews prior authorizations for specialized medical procedures on behalf of insurers. It is the largest prior authorization company in the United
EviCore
United States federal agency
through the Center for Medicare and Medicaid Innovation, introducing prior authorization for selected traditional Medicare Part B services in Arizona, New
Centers for Medicare & Medicaid Services
Centers_for_Medicare_&_Medicaid_Services
Policy on permits required to enter Costa Rica
residence permit issued by any Schengen Area member state, Canada, Cyprus, Ireland or the US; otherwise, restricted visa with a prior authorization required
Visa_policy_of_Costa_Rica
American-managed healthcare insurance company
Medicare and Medicaid. A 2023 report investigating "High Rates of Prior Authorization Denials" reported that Molina Healthcare's Medicaid plans for financially
Molina_Healthcare
US healthcare software company
healthcare software company that creates software to automate the prior authorization process used by some health insurance companies in the United States
CoverMyMeds
Managed care approach to prescription
requirement, is a managed care approach to prescription. It is a type of prior authorization requirement that is intended to control the costs and risks posed
Step_therapy
Policy on permits required to enter North Korea
(except South Korea) must obtain a visa prior to entering North Korea. For tourism purposes require prior authorization from a travel agency registered with
Visa_policy_of_North_Korea
Healthcare AI company
The Flow line covers end-to-end revenue cycle automation including prior authorization, autonomous AI medical coding, clinical documentation, claims denial
Innovaccer
Opioid treatment
Suboxone can be limited due to varying prior authorization requirements across different insurers. Prior authorization is used by insurance companies to limit
Buprenorphine/naloxone
Standard for exchanging electronic health records
exchange. Proposed rules from CMS, such as the patient burden and prior authorization proposed rule (CMS-9123-P), further specify FHIR adoption for payer-to-payer
Fast Healthcare Interoperability Resources
Fast_Healthcare_Interoperability_Resources
2024 killing of American CEO in New York City
showing a surge in prior authorization denials for Medicare Advantage patients. Reports of increasing rates of prior authorization denials prompted investigations
Killing_of_Brian_Thompson
Service of credit and debit card providers
Authorization hold (also card authorization, preauthorization, or preauth) is a service offered by credit and debit card providers whereby the provider
Authorization_hold
Platform for creating custom AI chatbots
rights by avoiding the disclosure of non-public information without prior authorization. GPTs within the ChatGPT store must comply with OpenAI's branding
GPT_Store
American healthcare company
record (EHR), practice management, medical billing, claims denials, prior authorization and revenue cycle management, as well as patient engagement tools
Athenahealth
Type of health insurance plan in the United States
palliative/hospice services. In 2019, Medicare Advantage operators denied 13% of prior authorization requests that would have been accepted under traditional Medicare
Medicare_Advantage
Airline route from Hawaii to Guam
passengers are prohibited from leaving the aircraft unless they have prior authorization from the U.S. government, as the airfield is inside an active military
Island_Hopper
Automated system for United States travel eligibility
The Electronic System for Travel Authorization (ESTA) is an automated electronic travel authorization system that determines the eligibility of visitors
Electronic System for Travel Authorization
Electronic_System_for_Travel_Authorization
Policy on permits required to enter Syria
transiting through the country, Iranian citizens are required to obtain a prior authorization, and Lebanese citizens who do not hold a valid residence permit in
Visa_policy_of_Syria
Insurance covering health-related expenses
associated. Prior Authorization: A certification or authorization that an insurer provides prior to medical service occurring. Obtaining an authorization means
Health_insurance
2016 film by Damien Leone
consent. Under SAG-AFTRA rules, any nude or topless scenes must have prior authorization, which Corcoran said that she did not give before being forced to
Terrifier
Press freedom in France during the Bourbon Restoration
dated October 21, 1814, re-establishing a number of controls such as prior authorization, censorship (less restrictive than the censorship introduced under
Press freedom under the Restoration
Press_freedom_under_the_Restoration
Spanish diplomat (1895–1972)
legally to reach Portugal. Propper disobeyed direct orders (needing prior authorization from Madrid) to sign special transit visas, saving thousands of Jewish
Eduardo_Propper_de_Callejón
Place in Al Wusta Governorate, Oman
It is only accessible by four-wheel-drive vehicles and requires prior authorization. Ras Madraka Beach is about 80 kilometers south of the Park Inn Hotel
Duqm
National park and biosphere reserve in the Canary Islands, Spain
There are only two footpaths which are accessible exclusively with a prior authorization and a guide. "Parque Nacional de Timanfaya". www.gobiernodecanarias
Timanfaya_National_Park
2023 police booking photograph of U.S. President
Trump campaign threatened to sue any user who did not obtain their prior authorization. In December 2023, Trump launched a set of digital trading cards
Mug_shot_of_Donald_Trump
Form of medicine review
utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage
Utilization_management
2009 piracy incident
Captain Phillips was rescued uninjured. Commander Castellano, with prior authorization, ordered the action after determining Phillips' life was in immediate
Maersk_Alabama_hijacking
Psychiatrist specialised in treating soldiers
nearest hospital emergency department. There is no requirement for prior authorization. Admissions must be reported to your regional contractor within 24
Military_psychiatry
2003–2011 conflict in Iraq
States were the inherent right of anticipatory self-defense and prior authorization by the Security Council. Following the Gulf War, the United Nations
Iraq_War
Health insurance company of Canada
fraud and ensure that provincial coverage pays when possible, while prior authorization may be required for certain treatments. The policies can save money
Green_Shield_Canada
Spanish businessman (born 1947)
the European Union (CJEU) ruled that FIFA and UEFA's rules on the prior authorization of club soccer competitions, such as the Super League, violate EU
Florentino_Pérez
American general (1777–1849)
Zachary Taylor's army. He faced a court-martial for recruiting without prior authorization, but successfully defended his actions. Gaines died in New Orleans
Edmund_P._Gaines
France-based Spanish luxury fashion house
Performance, Fashion and Advertising Sectors. The CGT stated that no prior authorization was requested and that the photo shoot took place on school days
Balenciaga
Horror media franchise
consent. Under SAG-AFTRA rules, any nude or topless scenes must have prior authorization, which Corcoran said that she did not give before being forced to
Terrifier_(film_series)
(ACO) Model, the Medicare Diabetes Prevention Program, the Medicare Prior Authorization Model for Repetitive Scheduled Non-Emergent Ambulance Transport (RSNAT)
Center for Medicare and Medicaid Innovation
Center_for_Medicare_and_Medicaid_Innovation
Pharmacy care by telecommunication
include drug therapy monitoring, patient counseling, prior authorization and refill authorization for prescription drugs, and monitoring of formulary compliance
Telepharmacy
age of 21. Some Keystone plans do not cover "anesthesia without prior authorization" for dental care. Keystone First VIP Choice plan serve dual eligible
Keystone_First
Part of product return process
A return merchandise authorization (RMA), return goods authorization (RGA), or return authorization (RA), is a part of the process of returning a product
Return merchandise authorization
Return_merchandise_authorization
2001 Hong Kong film by Tsui Hark
scenes that were shot in the People's Republic of China without prior authorization. The film grossed HK$10 million in its theatrical release in Hong
The_Legend_of_Zu
Act of the Parliament of the United Kingdom
illegal to hold an outdoor meeting of more than 50 people without prior authorization. It was one of the Six Acts passed after the Peterloo massacre. The
Seditious_Meetings_Act_1819
jurisdictional waters to or from the Falkland Islands to request prior authorization from Argentine authorities. In the Boundary Treaty of 1881 between
Decree_256/10
Observation tower in Seattle, Washington, U.S.
a sport known as BASE jumping. This activity is legal only with prior authorization. Four of them were part of an authorized promotion in 1996, and one
Space_Needle
In Chile, workers have the right to form and join unions without prior authorization, and approximately 10% of the total work force is unionized. The
Labor_rights_in_Chile
Conflict in Myanmar
the KNLA went close to an outpost belonging to the MNLA without prior authorization. The brief fighting resulted in a KNLA soldier being injured. The
Karen–Mon_conflict
possession are forbidden, except for medical purposes, subject to prior authorization by the Minister of Health. Cannabis is believed to have been introduced
Cannabis_in_Algeria
Document issued by the United States Citizenship and Immigration Services
A Form I-766 employment authorization document (EAD) or EAD card, known popularly as a work permit, is a document issued by the United States Citizenship
Employment authorization document
Employment_authorization_document
US healthcare company
wholesale Cold chain logistics & 3PL services Prescription benefit & prior-authorization technology Clinical trial management & biopharma solutions Practice
McKesson_Corporation
5, 2025). "Johnson, Thune say Venezuela operation didn't require prior authorization". The Hill. Rama, Padmananda (November 14, 2012). "Maine Independent
List of current United States senators
List_of_current_United_States_senators
American aircraft category
E airspace directly surrounding an airport, unless the pilot has prior authorization from the ATC facility with jurisdiction over that airspace. Ultralight
Ultralight aircraft in the United States
Ultralight_aircraft_in_the_United_States
Indirect denial of an insurance claim
review organizations (IROs). A de facto denial, rather than denying a prior authorization request (PAR) outright, may allow an insurer to delay responding
De_facto_denial
Harmful use of antipsychotic medications
provided for the prescriber that the drug can be prescribed without prior authorization as long as the dose and frequency is within the recommendation of
Antipsychotic_abuse
Overview of the cost of medicines in the United States
program requires prior authorization for specific drugs, and restricts reimbursements to the approved rationale of prior authorizations (i.e. patients who
Prescription drug prices in the United States
Prescription_drug_prices_in_the_United_States
British colony in Africa (1923–1980)
forbid the company from taking any actions in his domain without his prior authorization and consent. Following the acquisition of the Rudd Concession from
Southern_Rhodesia
Digital travel document for entry into a country
An electronic visa (E-Visa) and an electronic travel authorization (ETA, also styled eTA) are online systems established by countries that affirm the
Electronic_visa
American health care startup company
outpatient hospital services regardless of their benefit plan. No prior authorization is required when using the Cash Card. The company has earned an HITRUST
Curative_(company)
American politician (born 1963)
physician review and approval of artificial-intelligence-assisted prior-authorization denials by Medicare Advantage plans and would authorize the Department
Herb_Conaway
Bull issued by Pope Boniface VIII in 1296
papacy had been well established. The position of Boniface was that prior authorization had always been required and that the clergy had not been taxed for
Clericis_laicos
Concept in international maritime law
Traffic by Sea permits boarding the ships of other signatories with prior authorization. These agreements are not necessarily reciprocal, for example, the
Right_of_visit
Governor of Virginia since 2026
Retrieved May 2, 2026. "Health insurance; required provisions regarding prior authorization for prescription drugs". Virginia General Assembly. Retrieved May
Abigail_Spanberger
eight-year peace treaty with Ismail I of Granada in June 1320, without prior authorization of the crown. On 13 August 1325, Alfonso XI was declared of age and
Hermandad General de Andalucía
Hermandad_General_de_Andalucía
American TV host and government official (born 1960)
Oz faces Senate: What he said on Medicaid, Medicare Advantage, prior authorization, and more". OncLive. March 15, 2025. Retrieved March 16, 2025. "Wyden
Mehmet_Oz
Prime Minister of Israel (1974–1977; 1992–1995)
was illegal for citizens to maintain foreign bank accounts without prior authorization. Rabin resigned on 7 April 1977, following the revelation by Maariv
Yitzhak_Rabin
American jazz pianist (1928–1976)
Lucy" received renewed media attention when it was used without prior authorization in a comedic segment during the final episode of The Late Show with
Vince_Guaraldi
State park in São Paulo, Brazil
Finally, a third part is accessible only to specialists and with prior authorization. Caverna da Água Suja is essentially composed of an underground river
Alto Ribeira Tourist State Park
Alto_Ribeira_Tourist_State_Park
Airport in Kwajalein, Marshall Islands
service may not disembark the aircraft at Kwajalein unless they have prior authorization from the U.S. government. Photography and videography while at the
Bucholz_Army_Airfield
According to Chilean law, public use of the flag is allowed without prior authorization. Before October 2011 its use was prohibited, without the approval
Flag_of_Chile
on payment of the prescribed fee but not upon the securing of a prior authorization." Fees payable to the state and/or the authors' society vary from
Paying_public_domain
Law authorizing military action
The Authorization for Use of Military Force (AUMF; Pub. L. 107–40 (text) (PDF), 115 Stat. 224) is a joint resolution of the United States Congress which
Authorization for Use of Military Force of 2001
Authorization_for_Use_of_Military_Force_of_2001
Israeli-born American model (born 1969)
uniform and the Police Department logo. Because she had received prior authorization, the Judge overturned the department's termination request and placed
Carol_Shaya
Brazilian nature conservation guidelines
prohibited, except for educational purposes. Scientific research requires prior authorization from the responsible agency. Biological reserve Animal Protection
National System of Nature Conservation Units
National_System_of_Nature_Conservation_Units
pursuing complaints through the secular judicial system without prior authorization from a rabbi. And Muslims can also have their inheritance, business
Ban_on_sharia_law
American politician
solely relying on artificial intelligence tools to deny or modify prior authorization requests. In 2019, Krasner voted in favor of Senate Bill 551, which
Lisa_Krasner
1931 aborative coup d'état in Japan
the Japanese invasion of Manchuria by the Kwantung Army, without prior authorization from the Imperial Japanese Army General Staff Office and over the
October_incident
October 2025 US journalism incident
information, classified or otherwise, from government employees without prior authorization from the Pentagon.[citation needed] The Pentagon called the new press
2025 Pentagon press pass forfeiture
2025_Pentagon_press_pass_forfeiture
Radio station in Fairview Beach, Virginia, United States
Harry (October 5, 2010). "Longley-Rice Dependent Studio Site? No Prior Authorization? $7K, Please!". CommLawBlog. Fletcher, Heald & Hildreth. Retrieved
WGRQ
Swedish Eurodance group
was recorded in Jelcz-Laskowice, Poland, at a crime scene, without prior authorization. It was criticized by several artist colleagues for being vulgar
Rednex
2012 battle in Tunisia
of certain mountain areas as military locked zones that require prior authorization to enter for non-military entities. Belligerents Tunisia Ansar al-Sharia
Chaambi_Operations
Branch of health policy
Formularies may also segment drugs into categories for which a prior authorization is needed. This is usually done to limit the use of a high cost drug
Pharmaceutical_policy
Electronic instrument which detects the presence of metal nearby
the purpose of such use is the search for archaeological remains, prior authorization is required from my services. Apart from this case, the law ask to
Metal_detector
Mexican politician
influence the emperor to limit the authority of the Viceroy by requiring prior authorization of his actions by the Audiencia. In his final years, Velasco focused
Luis de Velasco, 2nd Viceroy of New Spain
Luis_de_Velasco,_2nd_Viceroy_of_New_Spain
Building in Mexico City, Mexico
the cloister have been well preserved. It can be visited only with prior authorization. Martín de Valencia, founder of the Convent Juan Agustín Morfi, Guardián
Convent of San Francisco, Madero Street, Mexico City
Convent_of_San_Francisco,_Madero_Street,_Mexico_City
Electronic visitor authorisation system
Authorization (ESTA) in the United States, Electronic Travel Authorisation (ETA) in the United Kingdom, and the Korea Electronic Travel Authorization
European Travel Information and Authorisation System
European_Travel_Information_and_Authorisation_System
Device which reduces sound intensity or muzzle flash on a firearm
since 22 September 2019. As they are only classified as accessories, prior authorization is not required for their acquisition, and they can be purchased
Silencer_(firearms)
American politician and Ojibwe activist (born 1979)
vision, the regulation of insurance company practices regarding prior authorizations, and government negotiation of prescription drug prices. Her platform
Peggy_Flanagan
Socialist and social democratic symbol
reserved his rights regarding the use of the emblem, without his prior authorization, by any foreign socialist party or any other party with which the
Fist_and_rose
Government organization in New York, United States
required to pay for the first 28 consecutive days of treatment without prior authorization or utilization review if the provider notifies the plan within two
New York State Office of Addiction Services and Supports
New_York_State_Office_of_Addiction_Services_and_Supports
Head of state and government of Venezuela
this Constitution and applicable laws. To designate, subject to prior authorization from the National Assembly or the Standing Commission of the same
President_of_Venezuela
Israeli ophthalmologist
Res. 2020;Apr 30. Epub ahead of print. Cost containment by peer prior authorization program for second line treatment in patients with retinal disease
Dan_Gaton
Automated system for travel eligibility to the UK
Electronic Travel Authorization (eTA) European Travel Information and Authorisation System (ETIAS) Israeli Electronic Travel Authorization (ETA-IL) New Zealand
Electronic Travel Authorisation (United Kingdom)
Electronic_Travel_Authorisation_(United_Kingdom)
1947-49 International Court of Justice case on sea law
Channel would have been acceptable, but not to the extent of demanding prior authorization, or of barring the passage of warships outright. This served to clarify
Corfu_Channel_case
1899–1907 German expeditions in Cameroon
restrictions were put in place and pilgrimages to Mecca had to receive prior authorization. Despite the suppression of the Mahdist Uprising, German control
Adamawa_Wars
Diagnosis, treatment, and prevention of illness
managed care system, various forms of "utilization review", such as prior authorization of tests, may place barriers on accessing expensive services. The
Medicine
Israeli far-right political party
East Jerusalem. Under the bill, mosques would be required to obtain prior authorization before installing or operating loudspeaker systems, with permits
Otzma_Yehudit
International maritime legal concept
However, some countries like China requires warships to attain prior authorization before they enter Chinese national waters. Transit passage refers
Freedom_of_navigation
1988 video game
the National Security Council, that could not be accessed without prior authorization. The player, however, could attempt to hack into the files. As the
The President Is Missing (video game)
The_President_Is_Missing_(video_game)
Bank in Bangladesh
Bank asked the National Bank Limited to not issue any loans without prior authorization from it in April 2021. It also asked for loan information from the
National_Bank_(Bangladesh)
Third-party mobile and online payment platform
investment-linked products. In Singapore, such services may require prior authorization from securities or financial-services regulators before they can
Alipay
2010 ruling of the Supreme Court of Canada (2010 SCC 39)
to prior authorization by the Commission de protection du territoire agricole du Québec. Since the Commission’s permission was not obtained prior to constructing
Quebec (AG) v Canadian Owners and Pilots Assn
Quebec_(AG)_v_Canadian_Owners_and_Pilots_Assn
Class of chemical compounds
use as co-formulants in pesticides (except for pesticides where prior authorization was granted before July 17, 2003 in which effects of the restriction
Nonoxynols
travel, tourism, insurance
PRIOR AUTHORIZATION
PRIOR AUTHORIZATION
Surname or Lastname
English and German
English and German : variant spelling of Prior.
Surname or Lastname
English
English : habitational name from any of the numerous places named Ditton, for example in Cheshire, Kent, Cambridgeshire, and Surrey, from Old English dīc ‘ditch’, ‘dike’ + tūn ‘enclosure’, ‘settlement’.English : habitational name from Ditton Priors in Shropshire, recorded in Domesday Book as Dodintone ‘settlement (Old English tūn) associated with a man called Dod(d)a or Dud(d)a’.
Boy/Male
Latin English
Head of a monastery.
Boy/Male
Arabic, Muslim
He who Percedes; Antecedent; Prior; Superior; Chief
Surname or Lastname
English and Scottish
English and Scottish : habitational name from any of the places so called. In over thirty instances from many different areas, the name is from Old English midel ‘middle’ + tūn ‘enclosure’, ‘settlement’. However, Middleton on the Hill near Leominster in Herefordshire appears in Domesday Book as Miceltune, the first element clearly being Old English micel ‘large’, ‘great’. Middleton Baggot and Middleton Priors in Shropshire have early spellings that suggest gem̄ðhyll (from gem̄ð ‘confluence’ + hyll ‘hill’) + tūn as the origin.A Scottish family of this name derives it from lands at Middleto(u)n near Kincardine. The Scottish physician Peter Middleton practiced in New York City after 1752 and was one of the founders of the medical school at King's College (now Columbia University) in 1767. One of the earliest of the Charleston, SC, Middleton family of prominent legislators was Arthur Middleton, born in Charleston in 1681.
Boy/Male
Australian, British, English, French, German, Turkish
Letters Patent; Authorization Letter
Surname or Lastname
English (Cumbria and Lancashire)
English (Cumbria and Lancashire) : habitational name for someone from Cartmel in Cumbria (formerly in Lancashire), the site of a famous priory, inland from Cartmel Sands. The place name is derived from Old Norse kartr ‘rocky ground’ + melr ‘sandbank’.
Girl/Female
Muslim
Beautiful, Prior
Boy/Male
English French
Servant of the priory.
Girl/Female
Muslim/Islamic
Beautiful Prior
Surname or Lastname
English
English : variant spelling of Prior.
Girl/Female
Arabic, Muslim
Beautiful; Prior
Male
Irish
Irish Gaelic name DAGDA means "the good god." In Celtic mythology, this is the name of a god of knowledge and magic, and a leader of the Tuatha Dé Danann, supernatural beings who inhabited Ireland prior to the coming of the Celts.
Boy/Male
American, Australian, British, English, Latin
Servant of the Priory; Monastic Leader
Boy/Male
French
Head of a priory.
Boy/Male
American, British, English, French, Latin
Head of a Monastery
Surname or Lastname
English (mainly East Midlands)
English (mainly East Midlands) : habitational name from a lost minor place name, Pophall in Linchmere, Sussex, or from Pophills in Salford Priors, Warwickshire.
PRIOR AUTHORIZATION
PRIOR AUTHORIZATION
PRIOR AUTHORIZATION
PRIOR AUTHORIZATION
PRIOR AUTHORIZATION
PRIOR AUTHORIZATION
PRIOR AUTHORIZATION
n.
Preoccupation; prior possession.
n.
Same as Trier, 2 and 3.
a.
Prior; earlier; former.
n.
The vicegerent of a prior; a claustral officer who assists the prior.
n.
The dignity, office, or government, of a prior.
a.
Prior to the glacial or drift period.
n.
One who pries; one who inquires narrowly and searches, or is inquisitive.
n.
Prior knowledge.
n.
A religious house presided over by a prior or prioress; -- sometimes an offshoot of, an subordinate to, an abbey, and called also cell, and obedience. See Cell, 2.
n.
An a priori principle.
a.
Preceding in the order of time; former; antecedent; anterior; previous; as, a prior discovery; prior obligation; -- used elliptically in cases like the following: he lived alone [in the time] prior to his marriage.
n.
The state or office of prior; priorate.
a.
More remote in previous time or prior order.
n.
The quality of being innate in the mind, or prior to experience; a priori reasoning.
a.
Prior to Adam.
pl.
of Priory
n.
The chamber of an abbot, prior, or head of a college.
a.
The superior of a priory, and next below an abbot in dignity.
n.
One who holds a prior to purchase certain public land.
travel, tourism, insurance