Medical Prior Authorization Form

A medical prior authorization is an approval process required by insurance companies before they will cover certain healthcare services or treatments. This helps ensure that the prescribed treatment is necessary and appropriate for the patient's condition.

Insurance companies require prior authorizations to control costs and prevent unnecessary or inappropriate healthcare services from being covered.

Common services that require prior authorization include surgeries, certain medications, diagnostic tests, and medical equipment such as wheelchairs or CPAP machines. Additionally, insurance companies may also require prior authorization for out-of-network providers or specialized treatments.