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Help · Pre-authorisation

Why a pre-authorisation is refused

  • Waiting period on the policy not elapsed — you control checking it, not the outcome.
  • Condition excluded under the policy — outside your control, but knowable at admission.
  • Procedure could have been done as day care — documentation controls this.
  • Insufficient clinical justification — entirely within your control.
  • Policy limits already exhausted — knowable before admission.
  • Notification outside the window — within your control.

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