Prior authorization could stand between you and your doctor’s care and here's what it really means, how delays happen and what do if you’re denied

The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But ...
Healio

Strategies enable greater success in prior authorization requests

Please provide your email address to receive an email when new articles are posted on . Be meticulous in checking the accuracy of your applications before submitting them. Use resources from the ACAAI ...
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Why Prior Authorization Is Causing Headaches and How to Solve It

In healthcare, insurance companies use prior authorization (PA) to determine whether a prescribed treatment, medication, or procedure is medically necessary before they approve coverage. Although ...
JD Supra

Texas Adopts Standard Prior Authorization Form

In an effort to reduce the number of different prior authorization forms with which providers must contend, the Texas Department of Insurance (TDI) has adopted a single, standard form for requesting ...
Healio

Prior authorization requirements substantial for PCSK9 inhibitors

Please provide your email address to receive an email when new articles are posted on . PCSK9 inhibitors required more prior authorization requirements compared with other drugs for cardiometabolic ...
Becker's ASC

‘Patients should flee from UnitedHealthcare’ amid changes to prior authorization, says 1 gastroenterologist

UnitedHealthcare, an insurer of 45 million patients worldwide, has announced changes to its prior authorization requirements for gastroenterology care, set to take effect June 1. New requirements will ...
TCTMD

Maze of Prior Authorization for PCSK9 Inhibitors Poses Challenge to Prescribers

Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...
Becker's ASC

UnitedHealthcare to cut prior authorization usage by 20%

UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from ...
Insurancenewsnet.com

Armada Health Care Integrates Electronic Prior Authorization Solution with PDX Systems

FLORHAM PARK, N.J., June 30, 2014 /PRNewswire/ -- Armada Health Care, LLC (Armada) and PDX, Inc. today announced that Armada's Prior Authorization Solution, known as ApproveRx, will be integrated with ...