Prior Authorization Denials

Prior authorization denied?
Before you pay out of pocket — make sure your insurer got it right.

Your insurer said no. Before you accept the denial, understand exactly why — and whether it deserves a closer review.

A prior authorization denial doesn't always mean the treatment wasn't medically necessary.

Sometimes it means the insurer wants more information.
Sometimes it means a different process was expected.
Sometimes it means an appeal is required.

The denial letter doesn't always make that clear.

⚠ Most insurers give you 180 days to appeal. For urgent medical needs, an expedited decision can come within 72 hours — but only if you request it. The clock is running.

Review my denial free
Free first overviewUpload your denial and receive a plain-language explanation of what the insurer is actually saying.
No subscriptionOne denial, one review. The full analysis is $79 if useful — nothing ongoing.
No obligationThe free overview comes first. You decide whether to proceed.

Why people upload their prior auth denial

  • The denial reason isn't clear.
  • The insurer says the treatment wasn't covered.
  • A claim that should have been covered was denied.
  • The denial references codes or policy terms that are difficult to understand.
  • The bill is too large to simply accept without understanding what happened.
  • The appeal deadline is approaching.

Most people upload because they have one simple question:
"Am I about to pay a bill my insurance should have covered?"

Free overview
Before you accept the denial — understand what it actually says.

Upload your denial letter. We'll explain the stated reason, identify anything worth questioning, and tell you whether the denial appears straightforward or may deserve closer review before you pay out of pocket.

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Full analysis + appeal letter

After your free overview, a full written analysis and ready-to-send appeal letter is available for $79 — one time. The full analysis often costs less than a single denied appointment. And it answers the one question most people have before they pay out of pocket.

Common questions

The first overview is free — upload your denial and we'll explain what the stated reason means and whether an appeal looks worth pursuing. No payment required. If you want the full written analysis and a ready-to-send appeal letter, that's a one-time fee of $79. No subscription. No hidden charges.
A prior authorization is a requirement from your insurer that your doctor get approval before providing certain services, medications, or procedures. Without it, your insurer may deny coverage even if the service was medically necessary.
Yes. Most insurers have an internal appeal process. If the internal appeal fails, you may have the right to an external independent review. For urgent situations, expedited reviews are often available within 72 hours.
A peer-to-peer review is a direct conversation between your doctor and a physician at your insurance company about the medical necessity of a treatment. It's often one of the most effective ways to overturn a denial — but your doctor needs to request it.
Standard internal appeals typically take 30 days. Expedited appeals for urgent situations should be resolved within 72 hours. External reviews have their own timelines depending on your state.
No. DoIPayThat provides plain-language document overviews. Not legal advice.

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DoIPayThat provides plain-language document overviews and response guidance. Not legal advice. Not medical advice. Not legal representation. © 2026 DoIPayThat