Glossary

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Prior Authorization Determination

A prior authorization determination refers to the decision made by a health insurance company regarding whether to approve or deny a request for coverage of a specific medical service, procedure, or medication. This determination is based on factors such as medical necessity, coverage policies, and clinical guidelines. 

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Valer Voices: Kern Medical

Valer Voices: Kern Medical

Watch and learn how Kern Medical Center used Valer’s automation capabilities and support to transform their team’s productivity and increased authorization completion rates from 69% to 94%.

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