Due to the significant increase in prior authorization requirements, as many insurance plans are now denying a wide range of services and medications, the administrative time required to complete these requests has substantially increased.
Many prior authorizations are completed within 20–30 minutes. However, some require extensive documentation, appeals, and insurer follow-up. While we understand the importance of these submissions, we are no longer able to absorb the full administrative burden without compensation. The first 30 minutes of prior authorization work will be provided at no charge.
Any additional time required will be billed at a GWCIM administrative rate of $100 per hour ($25 per 15 minutes).
To make the process quicker, please let Hannah Fine know the answers to the following questions:
- Which condition is the medication prescribed for, and are there any other conditions or symptoms you have that it may help with?
- How long have you been on the medication (regardless of dose)?
- Anything else you have ever taken to mitigate this symptom, any adverse effects from other medications for this symptom, or any that didn’t work to help mitigate the symptom?
- Any medication allergies, allergies to additives, or contraindications to taking your plan’s alternatives?
- Anything else specific to the rationale for the requested medication?
- Please attach a copy of your most recent insurance card OR send in a message the member ID, Rx BIN, Rx PCN, and/or Rx Group numbers on your card with the claims/provider phone number (usually located on the back).
