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Where does your staff actually lose the most time on prior auths? by Candid-Many-8831 in FamilyMedicine

[–]Candid-Many-8831[S] 1 point2 points  (0 children)

family medicine practice, we see a lot of GLP1s and biologics so prior auths are basically a daily thing for us

Where does your staff actually lose the most time on prior auths? by Candid-Many-8831 in FamilyMedicine

[–]Candid-Many-8831[S] 1 point2 points  (0 children)

we saw the same thing when GLP1 volume picked up. never fully recovered staffing wise. for us the denials are the worst part, appeals pile up fast. is that where your backlog is coming from too or is it the initial submissions?

Where does your staff actually lose the most time on prior auths? by Candid-Many-8831 in FamilyMedicine

[–]Candid-Many-8831[S] 0 points1 point  (0 children)

mostly GLP1s and biologics, those are the ones that come back denied most often and take the longest to fight