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Over 50% of appealed denials are overturned

Module 3: Prior Auth & Appeals: Fighting Denials the Right Way

Prior authorization blocks millions of prescriptions and procedures every year — yet most patients never appeal. This module demystifies the PA process, shows you how to build a winning appeal, and walks you through the deadlines that decide whether you get coverage or not.

3 micro-lessons · About 25 minutes total · Free · No signup required

Course 1: Insurance IQ · Module 3 of 5

Denial isn’t the final answer — for over half of patients, it’s the beginning of a winnable appeal. This module teaches you to read, write, and file the appeal your insurer expects but hopes you won’t send.

3 Micro-Lessons
3.1

Prior Authorization Decoded

Why your insurer requires permission before paying, how the clinical review actually works, and the single piece of information that gives you the best shot at approval.

⏲ 8 min Lesson 3.1
3.2

Building a Case That Wins

A strong appeal is not an angry letter. Learn the five elements every successful appeal contains — and the template insurers actually respond to.

⏲ 9 min Lesson 3.2
3.3

The Appeals Process: Deadlines, Levels, Escalation

Level 1, Level 2, external review. The 180-day clock. When to file, where to send it, and the free advocates who help you for free.

⏲ 9 min Lesson 3.3

Next: Module 4

Ready for Module 4 — Choosing Your Plan? You’ll pick the plan that actually fits your life and budget.

Start Module 4 →