Pre Certification and Pre Authorization
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Question / Problem
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What is the Difference between Pre Certification and Pre Authorization?
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Solution
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Pre Certification is a permission gven by Insurance to the Provider stating they can render or perform the service but does not guarantee payment.
Pre Authorization or Prior Authorization is a written statement given by the Insurance on request by provider stating they can render the service and gives a guarantee for reimbursement.
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Applies to |
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Medical Billing
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Rank It |
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