Pre-Authorisation

Pre-authorisation (PAR) is the prior approval of any planned admission to a hospital, including unassociated treatment or procedure (including a dental procedure) performed during hospitalisation.

MRI/CT-scans, radio-isotope studies and endoscopies (gastroscopy, colonoscopy, sigmoidoscopy, proctoscopy) whether during hospitalisation or not, also require specific pre-authorisation as well as certain endoscopic procedures.

In the case of an emergency members need to make sure they have pre-authorisation the first working day after being admitted to hospital. Failing to pre-authorise could result in a claim being refused or paid at a lower rate.