House Supports Schaibley’s Bill Improving Health Plan Prior Authorizations
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Prior authorization is part of an insurance billing process where health care providers must receive approval from the patient's health coverage plan indicating the treatment is medically necessary. Schaibley's proposal would specify certain requirements to protect patients and facilitate the prior authorization process between providers and insurers.
"Currently, different insurance providers have different prior authorization procedures, which can create confusion and delay," Schaibley said. "By providing these guidelines, we propose to streamline the process and help to get patients the medical care they need in a timely manner."
According to Schaibley, the bill also provides for the electronic submission of prior authorization requests which will further streamline the process.
This bill would not apply to health care plans offered by local governments.
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