- February 9, 2021
- Posted by: Thomas Anderson
- Category: Prior Authorization
On the 15th of Jan 2021, the CMS finalizes a new rule which will allow providers, payers as well as patients to have electronic access to all pending and active decisions with prior authorization. Many welcomed the announcement which essentially means that patients will no longer have to wrangle with the providers and locate the ancient fax machines for taking possession of their own data.
It is important to note that payers need prior authorization for an oversight as well as control over the prescribing patterns of the providers. With a better exchange of health data between the patients, providers as well as the payers, the implementation of API’s will bring patients, a better experience with their health. Insurance companies will now have 72 hours to make a decision on the prior authorization application for any urgent request and seven calendar days for non urgent decisions.
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