prior authorization for

USAGE SUMMARY

The phrase "prior authorization for" is correct and usable in written English.
It is typically used in contexts related to healthcare or insurance, where approval is needed before a service or medication can be provided. Example: "The patient must obtain prior authorization for the surgery before the insurance will cover the costs."

✓ Grammatically correct

News & Media

Science

Human-verified examples from authoritative sources

Exact Expressions

16 human-written examples

Others require prior authorization for some drugs — meaning that the doctor has to make a special call to the insurer.

The New York Times - Health

But Brooke at AARP insists that I don't need prior authorization for my Revlimid, and so does her supervisor Brian — until he spots a footnote.

The New York Times

To control costs, Indiana officials will develop a list of "preferred drugs" and want to require prior authorization for anyone trying to fill prescriptions for more than four brand-name drugs in a month.

The New York Times

When I was a young doctor in training, I was told that it was a waste of my talent to go into primary care, that much of my time would be spent on tiresome tasks like refilling medications and fighting on the phone with insurance companies to get prior authorization for various prescriptions.

The New Yorker

There are at least six steps in the process: 1) determining a patient's eligibility for services; 2) obtaining prior authorization for specialist visits, tests and treatments; 3) submitting claims by doctors and hospitals to insurers; 4) verifying whether a claim was received and where in the process it is; 5) adjudicating denials of claims; and 6) receiving payment.

The New York Times

Many health insurance companies also impose barriers — like requiring prior authorization for tests and treatments and denying payment for covered services, which forces patients to appeal — to discourage patients from using the medical services for which they are insured and to attempt to avoid paying for those services.

The New York Times

Human-verified similar examples from authoritative sources

Similar Expressions

44 human-written examples

37 In addition, requiring prior authorizations for various treatments reduces the time that providers, especially nurses, can spend with patients, which may negatively affect providers' perceptions of the quality of care they administer.

Cancer

Requests for prior authorization of occupational or physical therapy were processed much more quickly than the general case, by almost 9 minutes (β = −8.716, p < .001).001

BMC Health Services Research

The process of obtaining prior authorization from a health plan for a procedure, test or referral can eliminate inappropriate requests.

The New York Times - Health

No downloading of any software, movies, sound bytes, etc. without prior authorization from you or the person responsible for managing IT.

WikiHow

About a dozen states have established lists of preferred drugs and refuse to pay for other medicines unless a doctor obtains "prior authorization" from state officials.

The New York Times

Expert writing Tips

Best practice

When using "prior authorization for", clearly specify what service, medication, or procedure requires the authorization to avoid ambiguity. For example, "prior authorization for physical therapy" is more specific than just "prior authorization".

Common error

Avoid using incorrect prepositions with "prior authorization". The correct form is "prior authorization for." Using other prepositions like "to" or "of" can alter the meaning or sound unnatural.

Linguistic Context

The phrase "prior authorization for" functions as a noun phrase modifier. It indicates a requirement for advance approval related to a specific item or service. Ludwig AI shows it's commonly associated with healthcare and insurance contexts.

Expression frequency: Uncommon

Frequent in

Science

45%

News & Media

40%

Formal & Business

15%

Less common in

Wiki

0%

Encyclopedias

0%

Reference

0%

Ludwig's WRAP-UP

In summary, the phrase "prior authorization for" is a grammatically correct and usable term, predominantly found in healthcare and insurance contexts. Ludwig AI confirms its appropriateness. It signifies the necessity of obtaining approval before accessing a particular service, medication, or procedure. While not extremely common, it is frequently used in scientific, news, and formal settings. Alternatives include "pre-approval for" and "advance authorization for". When using the term, ensure clarity by specifying the exact item or service requiring authorization. Avoiding incorrect prepositions, like using "to" or "of" instead of "for", is crucial.

More alternative expressions

Phrases that express similar concepts, ordered by semantic similarity:

pre-approval for

Focuses on the approval aspect, using 'pre-' to denote it happens beforehand.

advance authorization for

Emphasizes the 'advance' nature of the authorization needed.

previous consent for

Highlights the 'consent' aspect needed before proceeding.

required permission for

Stresses the 'requirement' for permission.

necessary clearance for

Uses 'clearance' to suggest an official approval is needed.

mandated approval for

Highlights that the approval is legally or officially 'mandated'.

official sanction for

Emphasizes the 'official' nature of the approval.

prior approval to

Changes preposition from 'for' to 'to', slightly altering the structure.

authorization beforehand for

Inserts "beforehand" to clarify the timing of the authorization.

prospective authorization for

Uses 'prospective' to indicate the authorization is for something in the future.

FAQs

What does "prior authorization for" mean?

It refers to the requirement to obtain approval before receiving a specific medical service, medication, or procedure. This is often required by insurance companies.

When is "prior authorization for" typically required?

It's commonly required for expensive medications, specialized treatments, or out-of-network services to ensure medical necessity and cost control.

What can I say instead of "prior authorization for"?

You can use alternatives like "pre-approval for" or "advance authorization for" depending on the context.

How does "prior authorization for" affect patients?

It can sometimes delay treatment as healthcare providers need to obtain approval from the insurance company before proceeding. However, it can also help control costs and prevent unnecessary procedures.