MeSH Browser

MeSH Heading: Prior Authorization
Tree Number(s): N03.219.521.576.343.944
Unique ID: D000078482
RDF Unique Identifier: http://id.nlm.nih.gov/mesh/D000078482
Scope Note: A decision by a health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary.
Entry Term(s): Pre-Approval; Pre-Authorization; Prior Approval
Previous Indexing: Insurance, Health (1971-2018); Reimbursement Mechanisms (1981-2018)
Public MeSH Note: 2019
History Note: 2019
Date Introduced: 2019/01/01
Last Updated: 2019/01/01

Allowable Qualifiers: classification (CL)

economics (EC)

ethics (ES)

history (HI)

legislation & jurisprudence (LJ)

organization & administration (OG)

standards (ST)

statistics & numerical data (SN)

trends (TD)

Health Care Economics and Organizations [N03]
- Economics [N03.219]
  - Financing, Organized [N03.219.521]
    - Insurance [N03.219.521.576]
      - Insurance, Health [N03.219.521.576.343]
        
        Children's Health Insurance Program [N03.219.521.576.343.071]
        
        Community-Based Health Insurance [N03.219.521.576.343.108]
        
        For-Profit Insurance Plans [N03.219.521.576.343.144]
        
        Health Benefit Plans, Employee [N03.219.521.576.343.290]
        
        Health Insurance Portability and Accountability Act [N03.219.521.576.343.349]
        
        Insurance, Accident [N03.219.521.576.343.409]
        
        Insurance, Dental [N03.219.521.576.343.450]
        
        Insurance, Health, Reimbursement [N03.219.521.576.343.480]
        
        Insurance, Hospitalization [N03.219.521.576.343.492]
        
        Insurance, Long-Term Care [N03.219.521.576.343.508]
        
        Insurance, Major Medical [N03.219.521.576.343.533]
        
        Insurance, Medigap [N03.219.521.576.343.539]
        
        Insurance, Nursing Services [N03.219.521.576.343.545]
        
        Insurance, Pharmaceutical Services [N03.219.521.576.343.575]
        
        Insurance, Physician Services [N03.219.521.576.343.616]
        
        Insurance, Psychiatric [N03.219.521.576.343.658]
        
        Insurance, Surgical [N03.219.521.576.343.700]
        
        Insurance, Vision [N03.219.521.576.343.750]
        
        Managed Care Programs [N03.219.521.576.343.800]
        
        Managed Competition [N03.219.521.576.343.820]
        
        Medical Savings Accounts [N03.219.521.576.343.830]
        
        Medicare [N03.219.521.576.343.840]
        
        National Health Insurance, United States [N03.219.521.576.343.900]
        
        Not-For-Profit Insurance Plans [N03.219.521.576.343.912]
        
        Patient Protection and Affordable Care Act [N03.219.521.576.343.918]
        
        Prepaid Health Plans [N03.219.521.576.343.925]
        
        Prior Authorization [N03.219.521.576.343.944]
        
        Single-Payer System [N03.219.521.576.343.962]
        
        Value-Based Health Insurance [N03.219.521.576.343.972]
        
        Value-Based Purchasing [N03.219.521.576.343.981]

Prior Authorization Preferred

Concept UI: M000642757
Scope Note: A decision by a health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary.
Terms: Prior Authorization Preferred Term
Term UI T000942716
Date05/07/2018
LexicalTag NON
ThesaurusID NLM (2019); Prior Approval
Term UI T000942717
Date05/07/2018
LexicalTag NON
ThesaurusID NLM (2019); Pre-Authorization
Term UI T000942718
Date05/07/2018
LexicalTag NON
ThesaurusID NLM (2019); Pre-Approval
Term UI T000942719
Date05/07/2018
LexicalTag NON
ThesaurusID NLM (2019)

Prior Authorization MeSH Descriptor Data 2026