At Oakhaven, your health and well-being are always our top priorities. To ensure that our medical decisions are guided entirely by your unique needs—rather than insurance restrictions—we do not contract directly with insurance providers.

However, we know navigating health insurance can be challenging! As a courtesy to you, we are glad to provide the documentation and information you need to help secure pre-authorizations. Because every insurance plan has its own unique rules and limits, we highly encourage you to review your specific policy details. While we wish we could be experts on every individual plan, staying in touch with your insurance provider is the best way to understand your coverage.

How We Prioritize Pre-Authorization Requests

Because navigating insurance approvals takes a significant amount of time and care, we use a thoughtful prioritization system. This ensures our team can focus our energy where it will make the biggest positive impact on your health and your wallet.

We review and handle requests based on three main factors:

1. Urgent Medical & Health Needs
   Your health is our absolute priority. We always fast-track pre-authorizations for treatments, tests, or medications that are critical or time-sensitive to your immediate well-being. If your medical need is pressing, it moves to the very top of our list.

2. Financial Impact and Value to You
   We want to make sure our efforts are saving you meaningful money. Because the approval process requires intensive paperwork, we focus our energy on requests that shield you from major, high-cost medical expenses. If a pre-authorization is expected to save you less than $25, we place it lower on our priority list so we can keep our focus on securing the high-dollar approvals that protect your budget.

3. Likelihood of Insurance Approval
   We value your time and want to prevent frustrating delays. Over the years, we have learned a great deal about what insurance companies will and will not cover. If we know from past experience that a specific request is highly likely to be rejected by your provider, we will be completely open and honest with you about that probability up front. This allows us to look at alternative options together right away, rather than waiting weeks for a standard denial. Under no circumstances will we change the medical record falsely in order to try to qualify you for a pre-authorization.

Let’s face it—dealing with prescription insurance requirements can be a bit of a headache! While we can't dictate how insurance providers make their final coverage decisions, we are always here to do our absolute best to help you navigate their process.

Want a simpler route? We’ve got you covered. We offer a wonderful in-house pharmacy for common generic medications. You can bypass insurance and pre-authorizations entirely by purchasing your prescriptions directly from us at an affordable, budget-friendly price.

When it comes to prescriptions, navigating insurance approvals can sometimes feel complicated and overwhelming. While we don’t have direct control over insurance company decisions, please know that our team is truly glad to help guide you through their required steps and advocate for your care.

If you would prefer to skip the insurance paperwork altogether, we are delighted to offer a convenient alternative! Our in-house pharmacy provides many common generic medications at low, affordable prices. This allows you to get the care you need quickly and directly, completely bypassing the pre-authorization process.

When your care requires a referral, the specialist’s office will take the lead on securing any pre-authorizations needed for the treatments or tests they recommend. We are more than happy to support you and your specialist by promptly sharing your medical records, charts, or background history to help the process go smoothly. Because the specialist's team coordinates directly with insurance plans for their specific field, they are in the best position to guide you through those approvals.

Some pre-auths require historic medical records that we do not have onhand because they are for services provided at another practice. We cannot force other medical practices to give us your records. We can assist you in getting those records transferred by providing our medical fax number and mailing address, which can be found here on our Contact Us page. These are the steps to follow for a pre-auth that requires historic medical records:

1. Contact your prior practice sending an official request for records transfer

2. Provide them with our mailing address: Oakhaven Health DPC, 6740 W 121st Street, #250, Overland Park, KS 66209

3. Provide them our medical fax number, which is 913 - 408 - 6090

4. Request that they send the necessary historic documents to us if you need us to include it with a pre-auth request OR request your prior historic documents be sent to your insurance company directly

Can we directly ask your previous provider office for the records directly? Legally we can assist you, but you have to make the request or use your technology patient portal to get the records (if available through that mode).