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Healthcare providers billing for drug services must consider the drug and dosage form that was provided to the patient, the patient's medical record, the coding requirements of each health insurer, and best coding practices. Billing and coding guidance provided under this heading does not provide a guarantee of reimbursement and should be considered together with all applicable guidance and standards.

Prior Authorization Appeals

For additional prior authorization information regarding a specific BMS product, please click on the Products page.

Some health insurers require that a prior authorization be issued before certain items or services are covered. Failure to obtain a prior authorization from some health insurers before service is rendered (“prior authorization”) may cause a claim to be denied coverage, despite the fact that the claim would have otherwise been covered. A prior authorization is typically required only for items and services that are named by the health insurer.

Physicians and patients can appeal an insurer's decision to deny a prior authorization. Many states mandate that insurers maintain coverage appeal processes, including an expedited process that must be completed within a relatively short period of time (eg, 72 hours). Preparation for the appeal of a denied prior authorization is much the same as preparation for the appeal of claims that are denied coverage, as discussed below.

Some insurers will make a predetermination of coverage decision upon request. A predetermination generally applies to an item or service for which the health insurer does not require a prior authorization. If, after providing a predetermination decision, the health insurer indicates that the item or service will be denied coverage, the physician or patient can appeal the decision.

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