Crohn’s & Colitis Glossary
Peer-to-Peer Review
A scheduled phone conversation during which an ordering physician discusses the need for a procedure or drug with a physician represnting the health insurance company to obtain a prior authorization approval or appeal a previously denied prior authorization.
Pre-Existing Condition
A health problem, like Crohn's disease or ulcerative colitis, a person has before the date their health insurance starts.
Premium
The amount you pay every month for health insurance.
Prescription Drug Coverage
Health insurance that helps pay for prescription drugs.
Prior Authorization
A term that health insurance plans use which require a provider, clinic, hospital, case manager, or patient to apply for and receive approval for certain health care services. This can also be call pre-authorization, pre-approval, or prior approval.
