Prior Authorization
/ˈpraɪər ɔːθəraɪˌzeɪʃən/
Definitions
- (n.) A formal approval process required before certain actions, procedures, or services can be legally or contractually undertaken, often used in insurance and healthcare contexts.
The insurer denied payment because the doctor did not obtain prior authorization for the procedure.
Forms
- prior authorization
Related terms
See also
Commentary
Used mainly in insurance and healthcare law, prior authorization serves to control costs and ensure compliance with policy terms; drafting clear criteria for approval can prevent disputes.
This glossary is for general informational and educational purposes only. Definitions are jurisdiction-agnostic but reflect terminology and concepts primarily drawn from English and American legal traditions. Nothing herein constitutes legal advice or creates a lawyer-client relationship. Users should consult qualified counsel for advice on specific matters or jurisdictions.