Use your authorization appeal rights appropriately
Priority Health encourages you to take advantage of the authorization appeal rights available to you as appropriate:
• Two pre-service appeals are available (Levels 1 and 2) if you’ve received a denial on an authorization request and haven’t yet performed the service. Learn more.
• One post-service, post-claim medical necessity review is available if you performed the service but didn’t yet request authorization. In this case, you’d submit a claim and then follow our post-claim appeal process.