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IS SINGLE CASE AGREEMENT IS DIFFERENT FROM PROCEDURE AUTHORIZATION

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  • 50 profile sm
     Jan 27, 2025 03:42pm
    Yes a Single Case Agreement is different from a Procedure Authorization, though they are related and often used in conjunction with each other.
    SCA is a negotiated contract between OON provider and an insurance company to cover a specific patient care.
    Procedure Authorization also called pre authorization or prior authorization is requesting for payer approval for a specific service or procedure before it is performed.