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Precertification for medical services is the process of obtaining approval from an insurance company for the healthcare consumer to have a medical service. Use prior authorization tips and guides to improve administrative efficiencies.Many health plans require pre-certification and sometimes predetermination of medical necessity prior to care being rendered. The Myndshft Ultimate Guide to Prior Authorization helps demystify PA and to quickly answer some of the most frequent questions. Sometimes called prior authorization, prior approval or precertification. Get information about Aetna's precertification requirements, including precertification lists and criteria for patient insurance preauthorization. Sometimes called prior authorization, prior approval or precertification. A health plan may require that you meet specific criteria before a medical procedure or prescription drug is covered. Without this prior approval, your health insurance plan may not pay for your treatment, leaving you responsible for the full bill. This entails a payer needing to review whether the proposed service is medically necessary, or not.