On average, it takes about 30 days to secure a prior authorization.
Speed of prior authorization depends on several factors, most importantly having complete documentation—Medical Necessity documentation, completed forms--prescription and intake/patient agreement.
Healthcare Provider (HCP) Steps
Virtual Rx Kit Interactive PDF
- Determines that a patient may benefit from the Cala Trio therapy and submits a prescription.
- Submits a copy of both sides of the patient’s insurance identification card.
- Provides Medical Necessity documentation—derived from the patient medical records.
Patient Steps with Cala Customer Care Support
- The patient is assessed by the HCP for Cala Trio therapy to treat (ET) at an in-person or telemedicine appointment.
- When the prescription, insurance card, and medical necessity documents are submitted, Cala Customer Care verifies:
- health plan benefits
- reviews medical necessity documentation
- confirms treated hand, wrist measurement & tremor task
- Submits request for prior authorization (as needed).
- Collects patient’s signature on the Patient Intake and Agreement form (if not previously submitted).
- If coverage is denied, Cala will appeal the determination at no cost to the patient.
- When prior authorization is received, Cala Customer Care will ship Cala Trio therapy directly to the patient and provide training for the device.
MKG-1533 Rev C Oct 2022