Update a patient on the status of their insurance prior authorization request.
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Subject
Prior Authorization Update — patient_first_name
Hi patient_first_name,
I'm reaching out with an update on the prior authorization request we've submitted on your behalf. Prior authorization is required by your insurance company before certain services can be performed — we want to make sure you understand where things stand.
AUTHORIZATION DETAILS
• Service Requested: service_type
• Insurance Company: insurance_company
• Current Status: authorization_status
• Expected Timeline: expected_timeline
WHAT YOU NEED TO DO
• required_action
WHAT IS PRIOR AUTHORIZATION?
Prior authorization (also called pre-authorization or pre-approval) is a requirement from your insurance company that certain medical services be reviewed and approved before they're performed. This is your insurer's way of confirming that the service is medically necessary under the terms of your plan. It does not guarantee payment, but is typically required for scheduling.
IF THE AUTHORIZATION IS DENIED
If your insurer denies the request, we will notify you immediately and discuss your options — which may include an appeal, an alternative service, or proceeding as a self-pay. We advocate on your behalf and will provide clinical documentation to support the appeal if needed.
Please don't schedule the service until we confirm authorization has been received. If you have questions, call us at me::phone.
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