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OAR Addresses Prior Authorization Complaint

posted: May 20, 2019

OAR has been working on third party prior authorization compliance issues for the past several months. In April, OAR President Dr. Stephanie Ott met with policy staff from the Ohio Department of Insurance (ODI) to discuss the prior authorization problems providers and patients have been experiencing. The ODI suggested that both patients and providers use the ODI Hotline Number which is designated for reporting consumer complaints. Recently, a follow-up email blast was sent to OAR membership with the Hotline Number as well as directions on how to fill out a complaint through the ODI’s website. Please take time to review the following directions on the OAR website to aid you in submitting a prior authorization complaint.

Learn More about Prior Authorization

In late May, OAR will be sending providers a package containing information for patients on how to submit their own prior authorization complaints. OAR urges rheumatology providers to make these handouts available to patients experiencing prior authorization issues at their office location.

It is important to note that all ODI complaint numbers should be submitted to Heather Kazmark, OAR Government Affairs Specialist, by email at hkazmark@wjweiser.com or by calling (847) 264-5930.