A reminder about ‘turnaround’ times for non-urgent pre-service organization determinations

Switch to:

A reminder about ‘turnaround’ times for non-urgent pre-service organization determinations

09/26/2018

We’ve gotten some questions about the timing of decisions on standard (non-urgent) pre-service organization determinations. Under the regulations, we have:

  • Fourteen (14) calendar days from receipt of requests for your patients with Medicare Advantage plans
  • Fifteen (15) business days from receipt of requests for your patients with commercial plans