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Reply to "Can someone help with this doctor and prior authorization snafu? "
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[quote=Anonymous]From nyt: “There is an appeal process, which may differ by insurer. Contact a billing specialist with whatever information you have from your insurance company, though we may hear about it before you do and start the process on our own. Sometimes, the problem is a relatively simple one, resulting from confusion over the byzantine process of submitting medical codes, or some similar snafu. But often, a doctor will have to do what’s known as a peer review with someone from the insurance company. We find this burdensome, since the “peer” on the line with us may not have the same level of expertise as we do. That prolongs the call, adds to our overall operating expenses and keeps us from spending more time with you, the patient. We’ll give any appeal our best shot, but it may take time to schedule any peer review.” https://www.nytimes.com/2025/09/14/business/doctors-prior-authorization.html?unlocked_article_code=1.rU8.9Fk4.LWSeuyyc8LPH&smid=url-share [/quote]
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