What is prior plan approval?
Prior plan approval (also called prior approval, prior authorization, prospective review, prior review, certification or precertification) is when BCBSNC reviews certain medical services or drugs before they are given to patients to make sure that the service or drug is right for the patient. Even if a doctor gets prior plan approval from BCBSNC that says that the service or drug is correct for the patient, this does not guarantee payment. For more information, go to the prior plan approval page.
