06/18/2026
Even with doctors recommendations, insurance companies want:
• prior authorization
• a different test first
• proof that other treatments failed
• documentation that specific criteria were met
The first call after a denial shouldn't be:
"Why won't you cover this?"
It should be:
✔ What was the denial reason?
✔ What criteria were not met?
✔ What would need to be submitted for approval?
Those answers tell you what the next step is.
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