Q: What is my legal options when my child's doctor has been sitting on a prior-authorization submittal for over a month.
The office manager at this location has had all the required information to submit the prior authorization application to our insurance company since December 5. As of today (January 3), they have yet to file the paperwork. My son is in tremendous pain due to PA flares but cannot get the medicine due to this delay. What are my options in this situation to force them to take action and/or file negligence claims?
A: I would speak calmly to the doctor. Doctors are swamped with paper work and it's tough getting another doctor.
Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.
The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.
Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.
