Pre-Authorization Clause Samples
The Pre-Authorization clause establishes that a party must obtain approval before taking certain actions or incurring specific expenses under the agreement. Typically, this means that one party cannot proceed with activities such as making purchases, entering into subcontracts, or committing resources without first receiving written or documented consent from the other party. This clause helps control costs, prevent unauthorized commitments, and ensures that all significant actions align with the interests and expectations of both parties, thereby reducing the risk of disputes or unexpected liabilities.
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Pre-Authorization. Company represents that all debit and credit entries have been pre-authorized and that a pre- authorization agreement is of record.
Pre-Authorization. All EES must be pre-authorized by the EES program, and shall be set forth in the Individual Program Plan for each customer. (3-29-17)
Pre-Authorization. A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification.
Pre-Authorization. 11.1 The Provider will submit the e-pre-authorization, after admitting the patient as in- patient, on the Aarogyasri Website complete in all aspects including the signed copy of consent of the Patient. All relevant test reports along with Digital photograph of the Beneficiary taken in the hospital should also be uploaded. Catheterization CD, MRI films, X-rays should be uploaded, cytology and biopsy reports / slides should be submitted.
Pre-Authorization. Upon submission of a credit, debit, or prepaid card to aGO, a $1 pre- authorization charge will be made against the card, but the charge will not be captured. This is to ensure the validity of the card and will not cause funds to be removed from the Member's bank account. The pre-authorization charge will be released within seven days.
Pre-Authorization. Certain services and supplies under this Certificate may require pre-authorization by HMO to determine if they are Covered Benefits under this Certificate.
Pre-Authorization. All Extended Employment Services must be pre-authorized by an Extended Employment Services Program specialist, and shall be set forth in the Individual Program Plan for each Client. (3-14-07) 03. Billing Procedures. (3-14-07)
a. Certified Extended Employment Services Providers must submit a monthly billing statement for each Client served, in a format approved by an Extended Employment Services Program Specialist and within timelines set forth in the annual Employment Services Provider Agreement. (3-14-07) b. Bills may only be submitted for Extended Employment Services that have been identified and accepted by IDVR, as set out in an Individual Program Plan. (3-14-07)
Pre-Authorization. Overtime work must be approved before it is performed unless the circumstances are such that the employee's uninterruptible work is required by the Court, in which case it shall be deemed approved. The employee must complete a written request to work additional hours, and submit it to the appropriate supervisor for signature. Approved written requests should be attached to the employees' monthly timesheet. Failure or refusal to work scheduled overtime or working overtime without prior authorization from the supervisor may result in disciplinary action, up to and including, termination of employment.
Pre-Authorization. The Contractor shall suspend the requirement for any pre-authorization of services required in the Agreement and as defined in Article 1.90. The Contractor shall also extend all existing pre-authorization of services for members. In addition, prior authorizations for medications shall be expanded by automatic renewal without clinical review, or time/quantity extensions. In the event of a drug shortage occurrence the Contractor shall cover a brand name drug product that is a multi-source drug if a generic drug option is not available.
Pre-Authorization. 18.1 Pre-authorization request will be sent only after admission and the patient will be there in the hospital as inpatient till final decision on the Preauthorization is made.
(i) The Provider will submit the e-pre-authorization, after admitting the patient as in- patient, on the Aarogyasri Website completely in all aspects including the signed copy of consent of the Patient.
(ii) All relevant test reports along with Digital photograph of the Beneficiary taken in the hospital should also be uploaded. Catheterization CD, MRI films, X-rays, biopsy reports will be uploaded, cytology and biopsy reports / slides should be submitted.
(iii) The Provider agrees to upload the clinical photographs as required under the scheme taking due care of confidentiality of patient and follow the standard medical practices & ethics.
18. 2a Insurer undertake to approve the Preauthorization in consultation with the Trust indicating the relevant package rates within 12 working hours of the receipt of the request for pre-authorization form as well as the required data and information online.