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Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [ 1] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...
A return merchandise authorization ( RMA ), return authorization ( RA) or return goods authorization ( RGA) is a part of the process of returning a product to receive a refund, replacement, or repair to which buyer and seller agree during the product's warranty period. [ 1][ 2] The issuance of an RMA/RGA is a key gatekeeping moment in the ...
Utilization management. Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...
Prior authorization, a fancy term for your doctor needing to gain approval from your health insurance company before doing a medical procedure, has typically been a heavily manual process ...
Regulation (EC) No 1907/2006. C294, 25.11.2005, pp. 38–44. Registration, Evaluation, Authorisation and Restriction of Chemicals ( REACH) is a European Union regulation dating from 18 December 2006. [ 1] REACH addresses the production and use of chemical substances, and their potential impacts on both human health and the environment.
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