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.
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