Prior auth denial for out of network doc

With my current insurance plan, I need a prior authorization to see an out of network provider, and for it to be approved, it must be determined to be “medically necessary”.

I’m desperately trying to get my insurance to approve a particular out of network therapist who I really clicked with, but not sure how to get around the prior auth. They’ve denied it once, any ideas on how best to appeal?

submitted by /u/hansmoleman6
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With my current insurance plan, I need a prior authorization to see an out of network provider, and for it to be approved, it must be determined to be “medically necessary”. I’m desperately trying to get my insurance to approve a particular out of network therapist who I really clicked with, but not sure how to get around the prior auth. They’ve denied it once, any ideas on how best to appeal?
submitted by /u/hansmoleman6 [link] [comments]Read Morer/HealthInsurance

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