How to Navigate Prior Authorization

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What is prior authorization (PA)? Why does insurance require it for certain services? How do you even begin to figure it out? It's complicated. So we broke it down. Learn how to be your own advocate & get what you need from your health insurance co. ✨

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PA rules depend on the type of insurance you have and where you live. For example, federal rules govern PAs for people withWithin the regulations, insurance companies set their own processes for what services require PA and what criteria they use to decide on those requests.

 

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So today was a new one. Went to the doctor. They suggested I get a shingles vaccine. But when they checked with my insurance, it would not pay if I got it at the doctor's office. Now if I go to a pharmacy and get it they pay. WTF?

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How to Get Prior Authorization for Your Patients92% of healthcare providers report that PriorAuthorization causes delays in patient care. So we partnered with EndoAssn and compiled a tipsheet to simplify the process. Check out our infographic for tips on a smooth prior authorization process.
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What You Need to Know About Prior AuthorizationPrior authorization means getting preapproval from your health insurance for a healthcare service. It can feel complicated. So, we broke the steps down so you’ll know just what to do.
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Novavax’s COVID-19 Vaccine May Be Authorized NextNovavax's COVID-19 vaccine may be the next shot to receive emergency authorization in the U.S..
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