Retro authorization is a process where the payer reviews a service that has already been performed to determine if it was covered under the patient’s insurance policy and is medically necessary. This is typically done after the service has been completed and is used to recover payment for services that were not previously authorized.Â
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.
