How Health Insurance Prior Authorization Works

Health Insurance Companies Require Permission Before Certain Tests, Procedures or Medications... Or They Will NOT Pay.
Examples of Tests: MRIs, CT Scans, Cardiac Stress Tests
Examples of Procedures: Spine or Joint Surgery
Examples of Medications: Humira for Rheumatoid Arthritis, Chemotherapy
Your Doctor or Hospital Ususally Do Not Know What Does or Does Not Require Prior Authorization.
If You Have the Test Without the Prior Authorization, the Insurance Company Will Deny It and the Doctor/Hospital Will Bill You. You Will Then Need to Appeal to the Insurance Company, Which Can Take Months.
Click Here to Learn More About How Health Insurance Works: www.texasfamilyinsurance.com/...

[@ferndog1461]

You are going to talk with different people at the insurance. Some are new & incompetent. You may need to excuse yourself, hang up, and call again. Maybe this time you reach a more experienced agent. You need a notebook & pen to keep track of who you're talking with & what " team " you're talking to.

[@dailyvacationmusic]

AI and blockchain has the potential to streamline prior authorizations.

[@thomasjust2663]

Thank god I moved to Spain and don't have to deal with all this none-sense

[@Tina-sp5hs]

i’m boutta move too cause the america got me messed up lmao

[@L3TITBE]

You're so lucky, my Grandparents moved to USA from Spain.. They probably SHUD have stayed there.
Ugh😠..I wouldn't need to be going through this non sense!!

[@fir212]

Great! I like the way you explained it. Thank you!!!☆

[@oscarliria4594]

Excellent !

[@kanjanathevik5234]

👍👍👍 super video. Thankyou so much sir

[@Anonymouss222]

Perfect!!

[@vicefaun2316]

thank you!

[@CypherQueen313]

Greetings! Thank you for the info! Is there a way to know or a general understanding of what tests will or will not be covered by ins? For example, in general, are ultrasounds a covered benefit that don’t require prior auth?

[@DrineThePoet]

Great video

[@Jones-pj2jk]

That sounds an awful lot like the insurance companies are practicing medicine without a license, but with extra steps

[@sophisticatedmm3632]

I've worked as a referral specialist for inpatient prior authorization

[@nashsha4u]

Hi, could you please give insight into how the process works.

[@Lynn22823]

My insurance approved surgery in 2 weeks but I logged in in my insurance app and it says it approve surgery but it says approved outpatient so what does that mean? That they're not going to pay for the hospitalization? What do I do?

[@saurabhsharma6374]

What if a test is mandatory & insurance company denying it

[@luckyb5619]

So much confusion in this part of healthcare system, just have the pharmacy personal. Meaning pharmacist and pharmacy technicians handle this, we know everything about insurances and the various medications. Not so simple I guess.

[@dracojensei1141]

Does invaslign work

[@Rajput6731]

What if patient in ICU and unconscious for several days

[@giovannigarcia6786]

Guess they di3 lmao