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<rss xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:podcast="https://podcastindex.org/namespace/1.0" xmlns:media="http://search.yahoo.com/mrss/" version="2.0"><channel><title>Prior Auth Denied</title><link>https://www.spreaker.com/podcast/prior-auth-denied--7167865</link><description><![CDATA[Insured US adults stuck waiting on meds, imaging, or procedures. Plain-English playbook for prior authorization, claim denials, and appeals—what to ask, what to send, and when peer-to-peer helps. Audio for this show is produced with AI assistance. Episodes are researched, scripted, and reviewed for accuracy before release. Topics include: Prior Auth Denied.<br /><br />Become a supporter of this podcast: <a href="https://www.spreaker.com/podcast/prior-auth-denied--7167865/support?utm_source=rss&utm_medium=rss&utm_campaign=rss">https://www.spreaker.com/podcast/prior-auth-denied--7167865/support</a>.]]></description><atom:link href="https://www.spreaker.com/show/7167865/episodes/feed" rel="self" type="application/rss+xml"/><language>en</language><category>Society &amp; Culture</category><copyright>© 2026 Let's Work This Sh*t Out</copyright><image><url>https://d3wo5wojvuv7l.cloudfront.net/t_rss_itunes_square_1400/images.spreaker.com/original/094e1faad8075a8ba4e5a3b34fd5449d.jpg</url><title>Prior Auth Denied</title><link>https://www.spreaker.com/podcast/prior-auth-denied--7167865</link></image><lastBuildDate>Wed, 05 Aug 2026 13:29:39 +0000</lastBuildDate><itunes:author>Finch</itunes:author><itunes:owner><itunes:name>Let's Work This Sh*t Out</itunes:name><itunes:email>prettyscumbag.nick@gmail.com</itunes:email></itunes:owner><itunes:image href="https://d3wo5wojvuv7l.cloudfront.net/t_rss_itunes_square_1400/images.spreaker.com/original/094e1faad8075a8ba4e5a3b34fd5449d.jpg"/><itunes:subtitle>Insured US adults stuck waiting on meds, imaging, or procedures. Plain-English playbook for prior authorization, claim denials, and appeals—what to ask, what to send, and when peer-to-peer helps. Audio for this show is produced with AI assistance....</itunes:subtitle><itunes:summary><![CDATA[Insured US adults stuck waiting on meds, imaging, or procedures. Plain-English playbook for prior authorization, claim denials, and appeals—what to ask, what to send, and when peer-to-peer helps. Audio for this show is produced with AI assistance. Episodes are researched, scripted, and reviewed for accuracy before release. Topics include: Prior Auth Denied.<br /><br />Become a supporter of this podcast: <a href="https://www.spreaker.com/podcast/prior-auth-denied--7167865/support?utm_source=rss&utm_medium=rss&utm_campaign=rss">https://www.spreaker.com/podcast/prior-auth-denied--7167865/support</a>.]]></itunes:summary><itunes:category text="Society &amp; Culture"/><itunes:explicit>false</itunes:explicit><itunes:type>episodic</itunes:type><podcast:funding url="https://www.spreaker.com/podcast/prior-auth-denied--7167865/support?utm_source=rss&amp;utm_medium=rss&amp;utm_campaign=rss">Support the podcast!</podcast:funding><item><title>Prior Authorization Denials: Appeals Playbook &amp; Peer-to-Peer Calls</title><link>https://www.spreaker.com/episode/prior-authorization-denials-appeals-playbook-peer-to-peer-calls--72924875</link><description><![CDATA[In this episode of Prior Auth Denied, we deliver a plain-English playbook for tackling prior authorization blocks, claim denials, and appeals. Learn exactly what to ask insurance reps, which documents to send, and when a peer-to-peer review can speed things up—without the usual runaround. From decoding your denial notice to tracking deadlines and prepping your doctor, these targeted steps help cut through delays and improve your odds of approval.<br /><br /> Key takeaways include:<br /> - Read the denial notice word-for-word and request the plan’s internal policy during your call.<br /> - Gather matching clinical notes from your doctor’s office within two business days.<br /> - Request a peer-to-peer conversation if the first appeal stalls, and arm your physician with a one-page symptom summary.<br /> - File a concise formal appeal letter citing the exact policy language, while marking the 60- or 180-day deadline.<br /><br /> 📩 Have questions or want to share your experience? Reach out at prior@senseofthisshit.com.<br /> 💛 Join Our Supporters Club ($3 a month) 💛 Ad-free listening + early episodes — help keep independent media alive. Click Here: <a href="https://www.spreaker.com/podcast/prior-auth-denied--7167865/support" target="_blank" rel="noreferrer noopener">https://www.spreaker.com/podca...</a>]]></description><guid isPermaLink="false">a741b597-a42f-44df-901b-533b3bb51346</guid><pubDate>Sat, 11 Jul 2026 02:46:12 +0000</pubDate><enclosure url="https://dts.podtrac.com/redirect.mp3/api.spreaker.com/download/episode/72924875/audio.mp3" length="4492060" type="audio/mpeg"/><podcast:transcript url="https://transcription.spreaker.com/starship/2d2d7139-a034-49df-bfe3-d158701229a3/2d2d7139-a034-49df-bfe3-d158701229a3.srt" type="application/x-subrip" language="en"/><podcast:transcript url="https://transcription.spreaker.com/starship/2d2d7139-a034-49df-bfe3-d158701229a3/2d2d7139-a034-49df-bfe3-d158701229a3.txt" type="text/plain" language="en"/><podcast:transcript url="https://transcription.spreaker.com/starship/2d2d7139-a034-49df-bfe3-d158701229a3/2d2d7139-a034-49df-bfe3-d158701229a3.vtt" type="text/vtt" language="en"/><itunes:author>Finch</itunes:author><itunes:subtitle>In this episode of Prior Auth Denied, we deliver a plain-English playbook for tackling prior authorization blocks, claim denials, and appeals. Learn exactly what to ask insurance reps, which documents to send, and when a peer-to-peer review can speed...</itunes:subtitle><itunes:summary><![CDATA[In this episode of Prior Auth Denied, we deliver a plain-English playbook for tackling prior authorization blocks, claim denials, and appeals. Learn exactly what to ask insurance reps, which documents to send, and when a peer-to-peer review can speed things up—without the usual runaround. From decoding your denial notice to tracking deadlines and prepping your doctor, these targeted steps help cut through delays and improve your odds of approval.<br /><br /> Key takeaways include:<br /> - Read the denial notice word-for-word and request the plan’s internal policy during your call.<br /> - Gather matching clinical notes from your doctor’s office within two business days.<br /> - Request a peer-to-peer conversation if the first appeal stalls, and arm your physician with a one-page symptom summary.<br /> - File a concise formal appeal letter citing the exact policy language, while marking the 60- or 180-day deadline.<br /><br /> 📩 Have questions or want to share your experience? Reach out at prior@senseofthisshit.com.<br /> 💛 Join Our Supporters Club ($3 a month) 💛 Ad-free listening + early episodes — help keep independent media alive. Click Here: <a href="https://www.spreaker.com/podcast/prior-auth-denied--7167865/support" target="_blank" rel="noreferrer noopener">https://www.spreaker.com/podca...</a>]]></itunes:summary><itunes:duration>281</itunes:duration><itunes:keywords>appealletter,appealprocess,appeals,claimappeal,claimdenials,denialmanagement,healthcarenavigation,healthinsurance,imagingdenial,insuranceapproval,insurancedenial,insuranceplaybook,medicalappeals,medicalbilling,medicationauthorization,patientadvocacy,patientrights,peertopeer,priorauthorization,priorauthtips</itunes:keywords><itunes:explicit>false</itunes:explicit><itunes:image href="https://d3wo5wojvuv7l.cloudfront.net/t_rss_itunes_square_1400/images.spreaker.com/original/094e1faad8075a8ba4e5a3b34fd5449d.jpg"/><itunes:episodeType>full</itunes:episodeType></item></channel></rss>
