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Texas Department of Insurance
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Health Care Provider Boot Camp Day 5: Preauthorization; Medical Necessity and Utilization Review

Date:
February 19, 2025

Time:
12 p.m. - 1:30 p.m.

Location:
Zoom

Details:

This webinar focuses on a 'drop set' review of the preauthorization process and how medical necessity is determined through the utilization review process. This session reviews the presumption of medical necessity and how to document exceptions to the treatment guidelines. Attendees will learn the steps for requesting preauthorization, submitting reconsideration requests for denials, and navigating the independent review process.  

Who should attend: Health care practitioners, medical assistants, preauthorization, and billing staff.

Register online



For more information, contact: CompConnection@tdi.texas.gov