Prior Authorization Request or Submission is when the provider or supplier submits a pre-claim review request and receives the decision prior to claim submission. However, the provider or supplier can render services before submitting the request. A provider or supplier submits the prior authorization or pre-claim review request with all supporting medical documentation to approve coverage for the item or service to their payer.
The Prior Auth Regulation Reality Check: Beyond the Headlines
Join Valer Co-Founder and CEO Dr. Steve Kim for an unfiltered look at what CMS-0057-F and WISeR will—and won’t—change for your patient access operations. This webinar breaks down the real-world implications behind the regulations, the gaps between policy and practice, and a practical checklist to help your team prepare for what’s next.
