I had to get a CT in Dec. for a 6 month check after getting a cancerous tumor removed last summer.

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Jun 1, 2021
2:23:46pm

IdahoCoug A.I. Expert

I had to get a CT in Dec. for a 6 month check after getting a cancerous tumor removed last summer.

The lady at the front desk of my Dr. made a comment in passing after the consultation following the CT that she was glad the insurance FINALLY gave approval for it. It's crazy that for something as serious as stage 3 kidney cancer that insurance companies still drag their feet about diagnostics like that. I didn't even know that there was anything going on in the background.

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IdahoCoug

Bio page: IdahoCoug
Joined: Mar 14, 2001
Last login: May 6, 2024
Total posts: 13,114 (504 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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