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Test Precertification Requirements by Insurance Payer

Increasingly often Insurance Payers require Precertification or Prior Authorization for most valuable medical diagnostics tests.  Test precertification policies vary by insurance and change over time. This report allows medical laboratories to quickly check if specific medical test may require precertification by insurance payers.

This report is based on aggregated statistics from PayPredict AI machine learning engine and should be used as a general guide only.  Actual insurance precertification policy may be subject to Dx Code, gender, age group and other variables.