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Is There a Process for Getting Prior Authorization?
The afford care act did establish the right to appeal to both the insurance company and by a third party reviewer if a treatment is new or doesn't have very strong clinical evidence. But note that these decisions are overturned quite frequently, especially if they are due to an administrative error. The process for receiving prior authorization is in standard across differnttures, so it can require a bit of work. According to a recent survey done by the american medical association, 85 % of physicians found the burden associated with prior authorization to be fairly high.