Get Medication Prior Authorization Form Fax Back To: 18775779045 Member Information Last Name: Phone

Learn more at optum.com. How long does it take for a prior authorization to be approved or denied? Once your PA has been submitted and received, it usually takes up to 24 hours to process. If your PA request needs additional review, it may take longer.

16 Tips That Speed Up The Prior Authorization Process Sign up for payor newsletters. Stay informed of changing industry standards. Designate prior authorization responsibilities to the same staff member(s). Inform scheduling staff about procedures that require prior authorizations.

Your insurance company may require prior authorization before covering certain prescriptions. This is to ensure that the medication is appropriate for your treatment. It also helps to make sure it's the most cost-effective option. When prior authorization is granted, it is typically for a specific length of time.

What happens if prior authorization is denied? If your insurance company denies pre-authorization, you can appeal the decision or submit new documentation. By law, the insurance company must tell you why you were denied. Then you can take the necessary steps to get it approved.

New and refill prescription orders will arrive within four to seven days from the date OptumRx receives the completed order.

Prior authorization requires the prescriber to receive pre-approval for prescribing a particular drug in order for that medication to qualify for coverage under the terms of the pharmacy benefit plan.

If you have questions or want to speak with an Optum Rx Prior Authorization Advocate, call 1-800-711-4555.

Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request. Deny your request. Ask for more information.