What is one required element in prior authorization claims related to treatment status?

In the context of prior authorization claims, one essential element related to treatment status is the documentation of previous medication trials. This information is critical as it provides evidence of the patient's treatment history and the efficacy of prior therapies. Insurance companies often require this detail to evaluate the necessity of the requested treatment or medication. The previous medication trials help demonstrate that less costly or less invasive options have been attempted and were either ineffective or not tolerated by the patient. This thorough documentation fosters a better understanding of the patient's condition and supports the justification for the requested care, aligning with clinical guidelines and ensuring that the treatment being sought is appropriate for the patient's situation.

While options such as patient employment details, family medical history, and patient's insurance plan can be relevant in specific circumstances, they do not directly address the treatment status in the way that previous medication trials do. Prior authorization focuses significantly on the clinical aspects of a patient’s care, making past medication trials a key component of that evaluation process.