Common use of Precertification Clause in Contracts

Precertification. Members are encouraged to always obtain prior approval when using non-network providers. Precertification will help the

Precertification. Members are encouraged to always obtain prior approval when using non-network providers. Precertification will help thethe member know if the services are considered not medically necessary.

Precertification. Members are encouraged to always obtain prior approval when using non-network providers. Precertification will help theavoid any unnecessary reduction in benefits for non-covered or non-medically necessary services.