Final answer:
Prior authorization and predetermination have different meanings in health insurance.
Step-by-step explanation:
Prior authorization and predetermination are terms commonly used in health insurance. While they both refer to the process of getting approval for certain medical services or treatments, they have different meanings. Prior authorization and predetermination have different meanings in health insurance.
Prior authorization involves obtaining approval from the insurance company before receiving a specific treatment or service. It ensures that the treatment is medically necessary and covered by the insurance plan.
Predetermination, on the other hand, is the process of determining how much the insurance company will pay for a specific treatment or service. It helps determine the patient's financial responsibility and allows them to make informed decisions about their healthcare.