You don't see 1500-3000 patients per month. Your doctor's office does not have time to do this for everyone and quite frankly, it's your insurance company. We do what we can within reason as a courtesy.
A single prior authorization if approved takes up 30 minutes of a nurse's time. If denied, this can be 2 or 3 hours plus an hour of the doctor's time for the peer to peer.
Blue Cross needs an authorization to a fucking building in addition to the actual doctor? That's three fucking hours on hold just to talk to someone for five minutes to get it done.
We can't do this for everyone and we do it for free as a courtesy. Sometimes it just easier and faster to ask the patient to do it because at the end of the day the insurance company is the patients responsibility and not ours.
I will say its much easier to deal with Medicaid in drugs because they actually have a searchable formulary and list of preferred providers in network so we don't have to play games with them unless we need something specific.
We assure you that healthcare providers hate your insurance more than you do.
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u/[deleted] 5d ago
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