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prior authorization

What Employers Should Know About Prior Authorization

Prior authorization—also referred to as preauthorization, preapproval, or precertification—is the process by which medical providers must obtain approval from a patient’s health plan or insurance before administering specific medications, treatments, or procedures. This process aims to protect patient health and

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open enrollment checklist

Complete 2023 Open Enrollment Checklist

To prepare for open enrollment, group health plan sponsors should be aware of the legal changes affecting the design and administration of their plans for plan years beginning on or after Jan. 1, 2023. To help support and guide your

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