Preauthorization for prescriptions
September 6, 2012 9:04 AM Subscribe
Any other recourse when physician still has not faxed prior authorization form to insurance company?
posted by anonymous to Health & Fitness (11 answers total) 2 users marked this as a favorite
My husband was prescribed a medication the first week of August that requires his doctor to complete and fax a prior authorization form to the insurance company before he can fill the prescription. It's now five weeks later and this has still not been done. He has called the doctor's office several times, told that the doctor had "filled out half the form" but it stopped there, was told the doctor was "paged," etc.
If he fills the prescription without getting prior authorization, and we pay full price, will insurance companies penalize you in any way? Do we have any other recourse to get this prior authorization submitted? I've called and talked to Patient Services at the hospital, all they said was "we've contacted the doctor and were told it would happen shortly." It's very frustrating.
Has anyone else had to deal with this?