1. 15786 POINTS
    Bob VineyardPRO
    Founder, Georgia Medicare Plans, Atlanta,GA
    Health insurance pre-certification is a process used to certain claims that may have significant cost or could be of questionable value.

    Most elective surgery, inpatient or outpatient, should be pre-certified with your health insurance carrier before moving forward.

    Your doctor will file an informational claim using the carrier pre-certification form to determine if the medical procedure might be approved for coverage. Ultimately it is YOUR responsibility to make sure the pre-certification process has been followed.
    Answered on April 15, 2013
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