PriorIntel Blog
Comprehensive articles about prior authorization, insurance appeals, and your healthcare rights.
What Is Prior Authorization and Why Does It Exist?
Understanding the basics of prior authorization, its history, and why insurance companies use it to manage costs.
How to Appeal a Denied Insurance Claim: Step-by-Step Guide
A comprehensive guide to appealing your denied insurance claim with timelines, documentation requirements, and success strategies.
Understanding Your Explanation of Benefits (EOB)
Learn how to read your EOB, decode insurance terminology, and identify errors that could cost you money.
The Most Commonly Denied Medical Procedures
Discover which procedures face the highest denial rates and why insurers frequently deny these claims.
Prior Authorization for Mental Health Services: What to Know
Navigate prior authorization requirements for therapy, counseling, and psychiatric care with practical guidance.
How to Write an Effective Appeal Letter
Master the art of writing a persuasive appeal letter that increases your chances of overturning a denial.
Your Rights Under the ACA for Prior Authorization
Understand how the Affordable Care Act protects your rights regarding prior authorization requirements.
Understanding Medical Necessity: What Insurers Look For
Learn what "medical necessity" means and how to document your case to meet insurer standards.
Gold Carding Laws: States Leading Prior Auth Reform
Explore how "gold carding" laws reduce prior authorization burden and which states have implemented reforms.
The True Cost of Prior Authorization Delays
Understand the financial, health, and social costs of delayed care due to prior authorization requirements.
Prior Authorization for Imaging (MRI, CT, PET): A Patient Guide
Navigate imaging authorization requirements and learn how to appeal imaging denials.
How to Request a Peer-to-Peer Review
Learn when and how to request a peer-to-peer review — a powerful appeal strategy.
Understanding Step Therapy Requirements
Navigate step therapy requirements and learn how to appeal step therapy denials.
Prior Authorization for Spine Surgery: What to Expect
Comprehensive guide to obtaining spine surgery authorization and responding to denials.
Medicare Prior Authorization: Rules and Recent Changes
Understand Medicare prior authorization requirements and how recent policy changes affect you.
How to File a Complaint with Your State Insurance Department
Learn when and how to file a complaint about insurance company practices with your state regulator.
The Role of Medical Records in Prior Authorization
Understand how medical records support prior authorization approval and how to ensure proper documentation.
Prior Authorization for Bariatric Surgery: Requirements and Tips
Navigate bariatric surgery authorization with comprehensive documentation strategies.
Understanding External Review of Insurance Denials
Learn about external review as a final appeal option and how it protects your rights.
Prior Auth for Knee and Hip Replacement: Documentation Guide
Complete documentation strategy for obtaining joint replacement authorization.
How Employers Can Help Employees Navigate Prior Auth
Practical guidance for employers supporting employees through authorization challenges.
Telehealth and Prior Authorization: What Changed Post-COVID
Understand how telehealth has changed prior authorization requirements and current policies.
Prior Authorization for Genetic Testing: Coverage Challenges
Navigate genetic testing authorization and understand coverage limitations.
Understanding ERISA and Your Appeal Rights
Learn how ERISA (Employee Retirement Income Security Act) protects your insurance appeal rights.
The Impact of Prior Authorization on Emergency Care
Understand how prior authorization delays affect emergency treatment and your rights during emergencies.
Prior Auth for Physical Therapy: Session Limits and Appeals
Navigate physical therapy authorization limits and successfully appeal session denials.
How to Use CPT Codes to Understand Your Coverage
Decode CPT codes and use them to research your insurance coverage.
Prior Authorization for Cancer Treatment: Urgency and Rights
Understand expedited prior authorization for cancer treatment and your urgent care rights.
State-by-State Prior Authorization Reform Tracker
Track which states have enacted prior authorization reform legislation.
What to Do When Your Insurance Denies a Claim
Immediate action steps when you receive a claim denial.
Share Your Insurance Experience
Help other patients by anonymously reporting your prior authorization, denial, and appeal outcomes.
Report Your Experience