Pre-authorization review timelines

Type of review

Timeframe

Additional time allowed for review if additional information is needed

Urgent

72 hours

Must notify within 24 hours what additional information is needed. Must give no less than 48 hours to provide. Decision is due within 48 hours of receipt of the additional information.

Standard

15 calendar days

None

Concurrent

24 hours

Must notify within 24 hours what additional information is needed. Must give no less than 48 hours to provide. Decision is due within 48 hours of receipt of the additional information.