Question 1

What is a prior authorization request?

Accepted Answer

A formal request to your insurance company proving a treatment or medication is medically necessary before they agree to cover it. Your doctor usually initiates this process.

Question 2

How long does prior authorization take?

Accepted Answer

Standard requests take 5-15 business days. Urgent requests must be processed within 24-72 hours. Ask your doctor to mark it urgent if your condition requires prompt treatment.

Question 3

What if my prior authorization is denied?

Accepted Answer

You can appeal the denial. Ask your doctor for a peer-to-peer review with the insurance company's medical director — this often overturns denials faster than written appeals.

Prior Authorization Request Generator

What you'll need

How it works

Prior Authorization Request Generator

What you'll need

How it works