2025年6月10日 · Specialty drug approval involves a multifaceted process that ensures medications are both effective and safe for individuals with complex health conditions. This …

Insurance companies often require prior authorization before approving coverage for high-cost treatments, adding delays and extra paperwork to the process. Fortunately, specialty …

Providers must obtain prior authorization and verify the member’s benefits to be eligible for claim payment for the date of service. Providers may be held financially liable if services are …

2025年5月8日 · Prior authorization is a critical process in healthcare, requiring providers to obtain advance approval from a health plan before a procedure, service, or medication is covered. This …

2024年8月14日 · Digital tools and AI-enabled processes can help evolve prior authorizations to deliver the best outcomes for patients, providers and payers. The complexities inherent in …

2025年9月17日 · Drugs for Special Stores of the Population – Its coverage is limited to certain medical histories that prove you will meet the required conditions. Here are a few examples of …

2025年5月5日 · Understanding when prior authorization is required, what steps are involved, and how to handle denials can help you avoid patient flustration or perhaps any disruptions in your …

2025年4月24日 · Prior authorization is overused, and existing processes present significant administrative and clinical concerns. That is why the AMA is fixing prior authorization by …

2023年5月30日 · For years, doctors have lamented the administrative and financial impact of prior authorizations, as well as appeals for denials and mandatory reauthorizations for each …

2025年7月10日 · A prior authorization doesn’t affect cash payment for prescriptions. Plus, it’s only required on those prescriptions when billed through insurance. So if you’re uninsured or if …