ProviderCast

Terms - Precertification, Predetermination & Prior Authorization

Download the MP3 of this ProviderCast

Presenters:

Ryan Hoskinson, E-Learning Specialist BCBSKS	Darin Fieger, Provider Relations BCBSKS

Highlights:

• Three terms to be clarified: Predetermination, Prior Authorization, Precertification- 0:19
• Predetermination - 0:38
• Prior authorization, precertification and their differences - 1:02
• Requirements for FEP Claims - 1:29
• Available resources to providers - 1:46

Additional Resources:

• Glossary
• Predetermination and Prior Authorization forms

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