As an outsider/consumer this is fascinating to me. I've never understood what goes into prior authorizations.

Report problem with this ad

Jun 1, 2021
1:55:52pm

IdahoCoug A.I. Expert

Seems like insurance companies really trying hard to practice medicine without a license.

Report problem with this ad

IdahoCoug

Bio page: IdahoCoug
Joined: Mar 14, 2001
Last login: May 6, 2024
Total posts: 13,116 (504 FO)

Report problem with this ad

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 #”

Posting on CougarBoard