Prior authorization

[Yo GabbaPentin]

How long does it take you all to get prior authorization for procedures? Everything I do has been in ASC and the auths have been taking 2-3 weeks. Not acceptable for those in severe pain. Thanks.

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[lobelsteve]

4d in office

 

[Ducttape]

depends on insurance. Medicaid - at least 2 weeks.

 

[Yo GabbaPentin]

I’m talking about mostly bcbs, Aetna, Cigna etc

 

[SSdoc33]

few days, sometimes same day

 

[callmeanesthesia]

Some BC/BS carriers have a blanket policy requiring 15 working days for auth. Huge pain.

 

[Ferrismonk]

Auths can take days to weeks. If you actually call the insurance company, for commercial, you can sometimes get same day approval.

If you mark urgent and call Medicaid, 3-4 days, otherwise 2 weeks before you'll get the denial because they didn't read your note.

 

[pmrmd]

In office, same day usually, with essentially all commercial players except Humana.

In ASC, two weeks at least.




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[Agast]

I am ASC only but I have my own insurance staff, she can usually get things approved in 5 business days or less. Part of it is getting on the phone. It also makes it faster to set up peer to peer calls.