Claim Evidence review

Impacted payers must provide a specific, standardized reason for denied...

Centers for Medicare & Medicaid Services: Impacted payers must provide a specific, standardized reason for denied prior authorizati... Published Apr 26, 2024....

Impacted payers must provide a specific, standardized reason for denied prior authorization requests (excluding drugs) by January 1, 2026.

FactTracker assessment

This stored outcome is excluded from public accuracy until auditable verification evidence is available.

Verification rule: Event occurs: Impacted payers must provide a specific, standardized reason for denied prior authorization requests (excluding drugs) by January 1, 2026.; window 2024-04-26 to 2026-01-01

Original source: healthchain.com