What if a PA request is deferred?
If a PA is deferred, notification is sent to both the provider and member, explaining the reason for the deferral; typically missing documentation. The provider may submit the additional information needed, either by mail or by attaching it electronically to the online PA request. Once the additional information is received by the PA unit, review and adjudication can continue. Providers have 30 days to respond to a deferral.
