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My wife is a provider and I hear regularly from her the problems associated with the pre-authorization process. Want to hear a doctor scream, ask about their “peer to peer” with an insurance representative, a Medical Assistant, who then denies the requested service. Or when they are given one hour to present the case why services should be provided to a patient late on a Friday afternoon or the case will be denied. Insurance needs it’s wings clipped. How do people think United Healthcare and the others make all of their money? By not spending it on silly services such as transplants, therapy, MRIs, etc.