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Jun 1, 2021
1:55
:52
pm
IdahoCoug
A.I. Expert
As an outsider/consumer this is fascinating to me. I've never understood what goes into prior authorizations.
Seems like insurance companies really trying hard to practice medicine without a license.
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IdahoCoug
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IdahoCoug
Joined
Mar 14, 2001
Last login
Jun 9, 2024
Total posts
13,348 (510 FO)
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Messages
Author
Time
I hope whoever thought of "peer to peer" prior auth requirements has a special place in outer darkness
5150man
All-American
6/1/21 1:30pm
I’ve got one scheduled for tomorrow for a head MRI for proptosis with pain
scottpete
6/1/21 1:34pm
I had one last month but he was a CT Surgeon and it was just personal
cougfanz
6/1/21 1:35pm
RE: I had one last month but he was a CT Surgeon and it was just personal
SJS
6/1/21 2:03pm
I work for insurance and I hate doing them. Never initiated by us though...it's
WhirleyPop
6/1/21 1:41pm
My suspicion is the doctor is requesting it because it was denied by the insurer
bluecheese
6/1/21 2:03pm
I like asking for peer-to-peer because often the drug is magically approved without actually doing the meeting.
SaturdaySpecialDay
6/1/21 2:15pm
As an outsider/consumer this is fascinating to me. I've never understood what goes into prior authorizations.
IdahoCoug
6/1/21 1:55pm
It's mostly reflexive denials for drugs, diagnostics, and procedures that are expensive. Insurance companies create
SaturdaySpecialDay
6/1/21 2:17pm
I had to get a CT in Dec. for a 6 month check after getting a cancerous tumor removed last summer.
IdahoCoug
6/1/21 2:23pm
It’s one of those things where a patient will complain about a $250 office
cougfanz
6/1/21 2:37pm
I would love that job. How do I get it?
SJS
6/1/21 2:01pm
Yeah. After 10 minutes on hold today she says “I reviewed your note and everything looks good. Here’s your approval #”
5150man
6/1/21 2:48pm
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