@publickovacs
The insurance prior authorization departments are horribly understaffed, and the whole process is based on doctors' offices not having time to do these "peer-to-peer" calls which require sitting on hold half an hour during patient office hours. Then when the insurance doctor gets on the line, exactly zero of any of the documents that were sent over to justify the procedure were given to that doctor ahead of the call. The approval usually does not need any discussion. It's all BS.
@AlphaCentauri
I understand why and how this happens but as the patient I experience it as cruel and unusual punishment