Pre-certification is a process similar to prior authorization, whereby a request for approval for a service is performed without the need to verify medical necessity; typically entails verifying that a service is a covered benefit with a contracted, in-network provider and at an in-network facility.
The Prior Auth Regulation Clock Is Running: What Providers Must Fix Now
Join Valer’s webinar to learn what provider organizations must fix now to modernize prior authorization workflows under CMS-0057-F and WISeR, improve compliance, and reduce delays.
