Prior Authorization Denials: Demanding Review By Board Certified Physicians

Prior authorization denials deserve intense scrutiny. Obviously, appealing authorization denials greatly assists the patient access care their provider recommends. However, in a broader sense, prior authorization appeals is one of important ways that providers communicate, educate and maintain a sense of active partnership in healthcare delivery. State and federal laws likely dictate peer review of denials. But peer review may be defined differently by different carriers. . .. . . . (to read the remainder of this article, please log in below.)