Once your authorization is started, we typically have a final answer in 4-6 weeks. If any part of the initial request is denied, we will initiate the process of an appeal or a peer to peer review. If you receive a letter in the mail from your insurance carrier regarding a denial, no action is required on your part! Cases are often denied initially and then overturned. You can rest assured that Dr. Nikfarjam and our team will follow through every possible course of action in an effort to get coverage authorized for you. Hence, if your initial request is denied, it could take longer than six weeks to pursue the process of appeals and peer to peer reviews.
Once your insurance carrier has rendered a final decision, we will reach out to discuss the logistics of scheduling and pre-surgical testing requirements. Please be aware that your insurance carrier may offer only a specific window of time to have the procedure performed, as well as a specific facility.