{"id":14365,"date":"2022-07-27T13:44:47","date_gmt":"2022-07-27T13:44:47","guid":{"rendered":"https:\/\/www.ppmco.org\/faq\/que-es-una-autorizacion-previa\/"},"modified":"2024-08-13T15:45:58","modified_gmt":"2024-08-13T15:45:58","slug":"que-es-una-autorizacion-previa","status":"publish","type":"faq","link":"https:\/\/www.ppmco.org\/es\/faq\/que-es-una-autorizacion-previa\/","title":{"rendered":"\u00bfQu\u00e9 es una autorizaci\u00f3n previa?"},"content":{"rendered":"\n<p class=\"is-style-default\">Algunos servicios y suministros m\u00e9dicos requieren aprobaci\u00f3n antes de que su plan los cubra. La autorizaci\u00f3n previa, tambi\u00e9n llamada aprobaci\u00f3n previa o preautorizaci\u00f3n, es el proceso en el que un profesional de atenci\u00f3n m\u00e9dica cualificado revisa y determina si un servicio es m\u00e9dicamente necesario. Su Resumen de beneficios indica qu\u00e9 servicios, suministros o medicamentos requieren autorizaci\u00f3n previa. Todas las solicitudes de autorizaci\u00f3n previa se coordinan a trav\u00e9s del consultorio de su m\u00e9dico. Su m\u00e9dico debe solicitar y recibir la aprobaci\u00f3n antes de que usted reciba ciertos cuidados. Priority Partners revisar\u00e1 el servicio, el medicamento o el equipo para comprobar su necesidad m\u00e9dica. Si no se da la autorizaci\u00f3n previa, la cobertura de la atenci\u00f3n, los servicios o los suministros puede limitarse o denegarse. Los costos por los servicios denegados que sean consecuencia de que un proveedor de la red no haya recibido la autorizaci\u00f3n previa no son responsabilidad suya. Para obtener m\u00e1s informaci\u00f3n sobre las pautas de autorizaci\u00f3n previa a trav\u00e9s de su plan de Priority Partners, consulte su <a href=\"https:\/\/www.ppmco.org\/wp-content\/uploads\/2014\/06\/Priority_Partners_Member_Handbook.pdf\" data-type=\"URL\" data-id=\"https:\/\/www.ppmco.org\/wp-content\/uploads\/2014\/06\/Priority_Partners_Member_Handbook.pdf\">Manual para miembros de Priority Partners.<\/a>        <\/p>\n","protected":false},"template":"","faq_category":[70],"faq_featured":[],"class_list":["post-14365","faq","type-faq","status-publish","hentry","faq_category-plan-coverage-es"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u00bfQu\u00e9 es una autorizaci\u00f3n previa? - Priority Partners MCO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ppmco.org\/es\/faq\/que-es-una-autorizacion-previa\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00bfQu\u00e9 es una autorizaci\u00f3n previa? - Priority Partners MCO\" \/>\n<meta property=\"og:description\" content=\"Algunos servicios y suministros m\u00e9dicos requieren aprobaci\u00f3n antes de que su plan los cubra. 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