What happens if my prior authorization is denied? - Community Health Plan of Washington - Medicare Advantage

What happens if my prior authorization is denied?

If CHPW denies your request to administer certain services, treatments, equipment, or prescriptions drug, the member can appeal the decision and should follow the protocol on  the appeal and grievances pages.

If a drug is denied by Express Scripts, providers may appeal the decision by sending a letter and clinical
documentation, including the date and reason for the denial given by ESI, to:

Community Health Plan of Washington
Attn: CHPW Medicare Advantage Appeals
1111 Third Avenue, Suite 400
Seattle, WA 98101
Fax: (206) 613-8983

Expedited appeals are reserved for emergency situations only; call 1 (800) 942-0247 (Toll Free).


A Nap a Day Could Keep The Doctor Away

An older man taking a nap on the couch.Many Americans do not get enough sleep and this can contribute to a number of health issues. Taking a nap during the day can help your body restore itself and promotes brain and heart health. A 20-minute nap has a variety of health benefits – from improved mood, to better focus and memory function. In some cultures, napping is even prescribed as a health treatment by doctors!

If you have trouble sleeping, take steps to improve your quality of sleep.


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