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39,115 просмотров • 7 месяцев назад •via X (Twitter)

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Board Certified OBGYN exposes what they must go through just to get one prescription approved by health insurance companies “This is what doctors are dealing with in 2025. So my patient needs a medication, an indicated medication for her condition. So I send the prescription to the commercial pharmacy - The pharmacist tells me that this medication needs a prior authorization and sends me a fax with a 1-800 number - The 1-800 number leads me to a pharmacy benefit manager that wants to ask my npi, my date of birth, the patient's information, what kind of the prescription is, how long do they need it for. Only to tell me at the end of the phone call that I actually have to call the patient's insurance company to authorize the prior authorization for the needed medication - So I call the patient's insurance company and once again, I have to verify my information, the patient's information, the prescription information, what the patient needs it for, only for the insurance company to tell me that this is not how they do prior authorization - So they're going to have to fax me some forms that I'm not allowed to do a prior authorization on the phone - So then the fax comes through and I fill it all out. The patient's information, my information, my npi, what the prescription is, how long they need it for, clinical documentation. And now we sit and wait and see if the powers that be think that the patient actually needs the medication” “I went to school. I went to undergraduate medical school, 4 years of OBGYN residency, then went back and did an integrative medicine fellowship, all for these people to dictate how my patient gets cared for. Please know that your healthcare providers are fighting for you day in and day out on things we don't get reimbursed for.” US Healthcare Insurance executives need to be thrown in prison for what they’ve done to our healthcare system

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