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Insurance Pre-Authorization

Pre-authorization refers to the process where an insurer approves medical services based on medical necessity prior to services being provided. Determining a pre-authorization requirement is the responsibility of the ordering physician or patient. If the procedure requires pre-authorization, the Office of Inspector General (OIG) acknowledges the ordering physician has the responsibility of acquiring approval for the service. Click here for more information, or call 307-688-1142.

Medically Necessary Testing

If you have experience with Medicare or a health insurance plan, you probably know that Medicare and insurance companies only cover services that they view as medically necessary to diagnose or treat your health condition, based on criteria decided by the federal government and private Medicare contractors. For more information about what this means, please click here.

At Campbell County Health, we want to help you know ahead of time what services will be covered by your insurance plan. We will make every attempt to contact your provider to request information about the test or service they have requested in order to meet your plan’s definition of “medically necessary”. However, if we don’t receive the requested information, you may receive a written notice from us called an Advance Beneficiary Notice of Noncoverage (ABN) if we think Medicare or your insurance company may not pay for the items or services ordered by your doctor.

The ABN gives you information to make an informed choice about whether or not to receive items or services, understanding that you may have to accept responsibility for payment. You’ll be asked to choose an option box and sign the notice to say that you read and understood it. An ABN isn’t an official denial of coverage by Medicare. You have the right to file an appeal if payment is denied when a claim is submitted.

If you have additional questions or concerns about this process, please call our Patient Accounting department at 307-688-1400.


Thank you for choosing Campbell County Memorial Hospital for your medical care. We are committed to making your visit as pleasant and convenient as possible. You may preregister for:

  • Labor and delivery services in Maternal Child (can take place at the Emergency Department registration area, or at Patient Access in the Main Lobby)
  • Scheduled surgeries and procedures at Surgical Services

Tips to consider before your procedure

As you prepare for your procedure, please double-check that you have everything you need. Create a checklist for the following:

  1. Important documents such as a photo ID and insurance card
  2. Copies of your tests, medical history and a current medication list
  3. Personal care items such as toiletries, socks and clothes to wear home
  4. Reading materials and phone numbers of friends and relatives
  5. A ride home

Who's caring for you?

Please refer to this uniform colors chart to help you understand who is caring for you. Open Chart

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