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Prior Authorization

Blog  |  December 3rd, 2015

Prior Authorization is a process used by some health insurance companies to determine if they will cover a prescribed procedure, service, or medication. The process is intended to act as a safety and cost saving measure.

The main things your insurance needs to know is what the doctor is prescribing this medication for; I.E.: acne, allergies, chronic pain, etc. Also they will need to know what medications you have tried in the past. This can include anything over-the-counter, prescriptions, or procedures.

How Long Does the Process Take?

Depending on the insurance company this process could take anywhere from 24-48 hours from the time the Prior Authorization is started to the time when the insurance company comes to a decision.