The Prior Auth Nurse

The Prior Auth Nurse Pediatric nurse turning insider know how into free tools that help parents fight insurance denials. Educational information only.

Plain-English help for parents fighting pediatric insurance denials. Free tools, fill-in-the-blank appeal packs, and 1:1 help from a pediatric LPN. The Prior Auth Nurse turns over 25 years of pediatric prior-authorization experience into plain-English tools and guides — so a parent can understand a denial and know exactly what to do next. Free tools at thepriorauthnurse.com decode any denial lette

r, generate appeal letter templates, and track the deadlines that matter. Condition-specific Appeal Packs ($17 each) cover ADHD, ABA, biologics, specialty formula, growth hormone, and TRICARE. When templates aren't enough, the 1:1 consult ($150, 60-minute video or phone call) is built for the complex cases. Nothing here constitutes legal, medical, or nursing advice for your specific child.

You were handed the most complicated system in the world on the worst day ofyour life — and told to figure it out alone....
08/01/2026

You were handed the most complicated system in the world on the worst day of
your life — and told to figure it out alone.
No wonder you’re exhausted. No wonder you can’t stop. No wonder your body is
screaming.
That was never supposed to be your job alone. And from here on out, it doesn’t have to
be.
The Parent Survival Map is free, it’s in my bio, and it was written for exactly you.
Tag a parent who needs to hear this today.

Sometimes you don’t need another article. You need someone in your corner.In a 1:1 consult, we go line by line through Y...
07/31/2026

Sometimes you don’t need another article. You need someone in your corner.
In a 1:1 consult, we go line by line through YOUR denial, YOUR paperwork, YOUR
situation — and map out exactly what you do next.
25 years inside pediatric prior auth. I know how these decisions get made, because I
was in the room.
Spots are limited each month. Link in bio to book.

“Services exceed plan limitations.”Translation: they said no. And you’re allowed to say “prove it.”Every denial reason h...
07/29/2026

“Services exceed plan limitations.”

Translation: they said no. And you’re allowed to say “prove it.”

Every denial reason has a counter-move. But you can’t make yours until you know what they actually said — and these letters do NOT make that easy.

Free Denial Decoder, link in bio. Paste your letter, get the plain-English version, plan your next move.


Before you call SSA, read this.The words you use on that very first call matter more than you’d think. One wrongsentence...
07/27/2026

Before you call SSA, read this.
The words you use on that very first call matter more than you’d think. One wrong
sentence can slow your child’s case — or shrink the back pay you’re owed.

Nobody hands you a script. So I wrote one.

The free SSI Survival Map includes the exact language for that first call, word for word.

Link in bio — get it before you dial.

“All kids develop differently.”If you’ve heard that at a well visit while your gut was screaming, this is for you.You ar...
07/25/2026

“All kids develop differently.”
If you’ve heard that at a well visit while your gut was screaming, this is for you.
You are not being anxious. You are doing the most important job a parent has: noticing
what’s happening to your child before it gets worse.
Here’s what the system doesn’t tell you: the average gap between a parent’s FIRST
concern and an autism evaluation is about three years. You’re not late. The system is
slow. And your observations — written down, with dates — become your evidence later.
The Parent Survival Map has a whole section for this exact phase: what to say, what to
ask for by name, and what NOT to waste your energy on. Free, link in bio.

Here’s an uncomfortable truth: most families never appeal a denial.And the system knows it. Every parent who gets confus...
07/24/2026

Here’s an uncomfortable truth: most families never appeal a denial.
And the system knows it.

Every parent who gets confused, exhausted, and quietly gives up?

That’s a claim that never has to be paid.

They’re counting on you to give up. Don’t.

Appeals exist because denials get overturned. Know the process BEFORE you’re in it —
the Denial Survival Guide is your playbook. $17, link in bio.

No name. No member ID. Nothing stored.I get this question a lot, so let’s be clear: the Denial Decoder reads your denial...
07/23/2026

No name. No member ID. Nothing stored.
I get this question a lot, so let’s be clear: the Denial Decoder reads your denial
LANGUAGE.......not your child’s information.
Strip out the personal details, paste the rest, and get a plain-English breakdown in
seconds.
Your kid’s privacy stays yours. The confusion? That's what we can get rid of.
Link in bio.

Every Friday, my group does something the insurance companies would neverunderstand.We name our wins. Out loud. All of t...
07/19/2026

Every Friday, my group does something the insurance companies would never
understand.
We name our wins. Out loud. All of them.
An approval that took four months. A phone call you’d been avoiding for two weeks.

Fighting for your child’s care was never supposed to be a solo job. The group is free, it’s
private, and it’s full of parents who get it. Link in the comments.
Free tools at thepriorauthnurse.com

Nobody hands you a map for this. So I made one.Phase 0: Something is wrong and no one believes you yet. Phase 1: The dia...
07/18/2026

Nobody hands you a map for this. So I made one.
Phase 0: Something is wrong and no one believes you yet. Phase 1: The diagnostic
odyssey. Phase 2: Just diagnosed. Phase 3: Services and systems. Phase 4: The
insurance fight. Phase 5: Crisis moments. Phase 6: The long game.
If you’re a special-needs parent, you’re somewhere on this map right now. Maybe two
places at once. Naming your phase is the first relief - because it means what you’re
feeling has a shape, and it ends.
The Parent Survival Map is my new free guide: all six phases, what each one actually feels like, and what to do in each.
Link in bio. 💛
Which phase are you in? Tell me below. ⬇

Just got a denial? Do these 3 things before anything else:Save the letter - envelope too Write down the date you receive...
07/17/2026

Just got a denial? Do these 3 things before anything else:
Save the letter - envelope too Write down the date you received it Ask the
insurer for the criteria they used
That’s the foundation of every successful appeal. Your own paperwork tells you your
deadlines - these three moves make sure you can actually use them.
The full playbook - what your letter means, why it happened, and your step-by-step
next moves - is in the Denial Survival Guide. $17, instant download, link in bio.

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PO Box 93
Spotsylvania, VA
22553

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+15402234565

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