QRM Impact on Doctor prescribed treatments Kaiser Georgia

Georgia

QRM is a nonmedical part of Kaiser whose sole jon is to deny treatment to patience. I received a letter from them saying I needed to get a drug reapproved and to contact my Doctor. I emailed the doctor three times quoting the whole letter and discussing in at an in person visit. The doctor said he had represcribed the drug and everything was taken care of. A month later QRM denies the treatment leaving me with no treatment. Turns out the doctor had no knowledge of the requirement to request reauthorization even though i had ask 4 times. He had not been trained how to redescribed the medication. A nurse has submitted the request to QRM 4 months afterI I ask the doctor to do so. TO me this borders on malpractice. Why has Kaiser gotten so bad that doctors dont know how to do their job and nonmedical personnel are making like altering decisions? Cant get an answer from kaiser Ga

Posted May 11, 2025, 4:55 PM UTC

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