Which information should NOT be submitted in a prior authorization claim?

In the context of prior authorization claims, the submission of relevant and up-to-date information is crucial for the review process. Outdated medication history should not be submitted as it can lead to misunderstandings or inaccuracies in the review of the patient's current health status and treatment needs. Prior authorization aims to ensure that the requested treatment is appropriate and necessary based on current medical guidelines and individual patient circumstances. Utilizing current medication history allows for a better assessment of potential drug interactions, the effectiveness of the prescribed therapy, and the necessity for the new or continued treatment.

In contrast, weight, previous prescriptions, and the site of administration are all relevant pieces of information that support the need for the prescribed medication or therapy. These details can provide insights into the patient's overall health and ensure that the treatment aligns with their specific medical needs. Therefore, including outdated medication history does not contribute positively to the authorization process and may hinder the ability to make informed decisions regarding patient care.