09/09/2026
A prior-authorization request should not vanish after submission.
For impacted payers, CMS now requires decisions within 72 hours for urgent requests and seven calendar days for standard requests. The rule does not cover every payer or every situation, but it gives many practices a clearer timeline to monitor.
Record when the request was sent. Track the response. Escalate when the expected timeframe passes.
Better tracking supports faster care and fewer avoidable payment delays.
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