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How do I get a prior authorization? If your health care provider is in-network, they will start the prior authorization process. If you dont use a health care provider in your plans network, then you are responsible for obtaining the prior authorization.
The patient or their representative can contact their insurance company and provide the relevant information to start the Prior Authorization process. Its best to confirm with the healthcare provider if they have the information and are willing to submit the request.
Depending on your provider, insurance companies can take anywhere between 1-30 days to approve the request. Stay in communication with your care team, as timing for approval varies between insurance providers.
Network Health is a Wisconsin-based health plan owned by Froedtert ThedaCare Health. As a health system-owned health plan, Network Health provides a patient-centric, fully integrated approach to health care and health insurance services.
Your doctors office is responsible for obtaining prior authorization. They will submit a request to your insurance provider to get approval, whether its for a service or for a medication. Usually, your physician will have a good idea of whether they need to get prior authorization.
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People also ask

A denied prior auth request can occur when a providers office submits a wrong billing code, misspells a name or makes another clerical error. Requests can also be denied if the prior auth request lacks sufficient information about why the medication or treatment is needed.

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