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What happens if a health insurance plan's preauthorization requirements are not met by providers?
Wiki User
∙ 11y ago
The penalty for not meeting the preauthorization requirement is listed in your policy. In most cases the penalty is 20% of the benefit. This means that if your policy normally pays 80% of the medical costs after your deductible then the benefit would be reduced to 60% payment instead. Generally the hospital has departments that handle the preauthorization but remember that it is your responsibility to make sure this has been done. After all it is you that will be responsible for paying the penalty if it is not done.
Wiki User
∙ 11y ago
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