Pre-Authorization Guidelines

What is it: 

- WR provides pre-authorization assistance for patients whose insurance requires it for specific exams.
- These exams include CT, MRI, and HSG (Hysterosalpingogram) for infertility. 

Why:

- Certain insurance plans require pre-authorization prior to completing exams

What do I do:

- Make sure to capture all demographic information for the pre-authorization process
- Make sure to allow enough time for the completion of the pre-authorization
          - Minimum of 5 full business days in advance
          - Example: Patient is calling Monday, the appointment should be scheduled no sooner than the following Tuesday.
          - Note: The day the appointment is scheduled, does not count as day one. Also, weekends do not count as business days.

EDITED: 06/12/2023