Predetermination
Comprehensive Venous Diagnosis and Treatment
Many, but not all, insurers will review medical records and a proposed plan of care which we submit to the insurer and will issue a “predetermination” that you meet that insurer’s criteria for treatment. If predetermination results in an authorization to treat, the insurer usually will pay its “allowed” amount (less any co-insurance and co-payment amounts) for the authorized procedures.