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How does the prior authorization process work? Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request. Deny your request.
Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request. Deny your request.
For patients with commercial insurance, about 55% of patients paid $0 out-of-pocket costs per month for XOLAIR. For those patients who did have out-of-pocket costs, 90% paid between $5 to $1,475 per month, after satisfying their deductible. The amount you pay for XOLAIR will depend on your insurance plan.
At the federal level, earlier this year the Centers for Medicare and Medicaid Services (CMS) issued a final rule that will, among other things, require payers to send prior authorization decisions within 72 hours for urgent requests and within a week for nonurgent requestsstarting in 2026.
It typically takes 24 to 72 hours. You may check the status of your prior authorization request on the prior authorizations page. You may also contact your doctors office directly.
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Moving forward, please visit CoverMyMeds at .covermymeds.com/main/prior-authorization-forms/cigna/ or via SureScripts in your EHR to learn more and submit all new PA requests electronically. If you are unable to use electronic prior authorization, please call us at 1.800. 882.4462 (1.800. 88.
How long does a prior authorization take? Depending on the complexity of the prior authorization request, the level of manual work involved, and the requirements stipulated by the payer, a prior authorization can take anywhere from one day to a month to process.

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