Auth Appeals - Important Change for Priority Health

April 3, 2025

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.