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Prior Authorization & Paperwork

Ask OpenEvidence to draft paperwork related to insurance claims, for example:

  • Prior authorizations
  • Letters of medical necessity
  • Medical equipment
  • Step-therapy appeals

Prior Authorizations

Write a prior authorization letter for Humira (adalimumab) for a 65 year old with Rheumatoid arthritis that has failed methotrexate, leflunomide, and sulfasalazine. He has a history of coronary artery disease, diabetes, and hypothyroidism. His CDAI indicated moderate disease activity.

Write a prior authorization letter for Ozepmic (semaglutide) for a 49 year old female with class 3 obesity. She has a history of non-insulin dependent diabetes, sleep apnea and HTN

Durable Medical Equipment (DME)

Write a letter to insurance that supports the need for a standard power wheel chair using medicare eligibility in a 75 year old male with bilateral knee and ankle osteoarthritis and lower extremity peripheral neuropathy

Write a letter supporting the need for supplemental oxygen in 57 year old male patient with COPD who had frequent desaturation episodes on 6 minute walk test