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Prior authorization denied: what to do
When the plan says it had to approve the care first.
Check my letter freeAsk the doctor's office first
They may have requested it, and they can often request it after the fact or appeal for you.
Emergency care
Health plans cannot require prior authorization for emergency services, and must judge them on the symptoms you had.
Appeal in writing
If the plan still says no, appeal in writing before the deadline on your letter.
More guides
- How to appeal a health insurance denial
- External review: when the insurer says no again
- How to appeal a Medicare denial
- Letter of medical necessity: what your doctor should include
- Emergency room claim denied: your rights