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Understanding the Prior Authorization Appeal Process: A Guide for Healthcare Providers
prior authorization appeal process is a common part of the healthcare landscape. Itโs the process by which insurance companies approve or deny specific medical treatments, procedures, or medications before they are provided. When a claim for prior authorization is denied, it can lead to delays in care, added administrative burdens, and frustration for both patients and healthcare providers. However, denied prior authorizations donโt have to be the end of the road. Understanding the prior authorization appeal process can help healthcare