I’ve got one scheduled for tomorrow for a head MRI for proptosis with pain

Jun 1, 2021
1:34:24pm

scottpete All-American

Why it was denied is beyond me. In my experience peer to peer have been congenial and almost apologetic. It is awful that they arise from denied care, result is delays, and throw a wrench into the normal flow

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scottpete

Bio page: scottpete
Joined: Mar 10, 2009
Last login: May 6, 2024
Total posts: 4,068 (217 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 #”

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