What is preauthorization, and who is responsible for taking care of it?
Most insurance plans have a list of tests, procedures, admissions, etc., that require patient or provider notification before the service is rendered. Failure to obtain pre-authorization may result in the claim being denied or only partially paid. As a courtesy to the patient the hospital completes preauthorization. However, the patient is ultimately responsible to ensure all insurance carrier requirements are met for the insurance carrier to cover services.
