Who’s Responsible for Preauthorization for Your Medical Procedure?

if a provider does not have pre-authorization for services rendered, which are usually the following procedures, surgery when they’re, uh, doing a procedure and they have to put dye in you, MRI, CAT scan, and, and also involving many other services, your claim is going to be denied if you didn’t have pre-authorization. I recently had a client where his bill was over a hundred thousand dollars, and when I spoke to the insurance company as well as the doctor’s office, they finally were able to build the insurance company involving the authorization and all of his bills were finally paid. But they should not leave the responsibility up to you. It’s really the doctor who or whoever’s billing for him to know that pre-authorization is required for these services.

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Adria Gross
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