IVF: Pre-Authorization
Has anyone dealt with a fertility clinic refusing to submit prior authorization because they insist it isn’t required, even though your insurance company says it is?
My wife and I are a same-sex couple going through Weill Cornell. Cigna told us that we may qualify for infertility coverage based on our reproductive circumstances, but IVF is only covered under certain conditions and requires prior authorization.
We have repeatedly asked Weill Cornell to submit the prior authorization, but they keep telling us that “Cigna doesn’t require it” and seem confused about what we are requesting. We absolutely do not want to proceed with an IVF cycle based on that assumption, only to have the claim denied and be forced to fight with Cigna and the clinic’s financial services department afterward.
Has anyone encountered something similar, particularly with Cigna or Weill Cornell? How did you get the clinic to submit the authorization? Is there a particular department, supervisor, or type of documentation we should request? Would it help to arrange a three-way call with Cigna and the clinic?
Any advice would be greatly appreciated!