My husband called the customer service number and was transferred to prior auth. On the phone he initiated the waiver. We would advised this because its recorded and they have 5 days to make a decision so it starts the process. They will collect the needed info like the NPI numbers and fax numbers to dr and surgical facility along with diagnosis and procedure codes. They will also need the dates of the surgery and how many follow ups will be needed. Once the requests are completed you will get a case number, 1 for the doctor and the other for the facility. They will fax along the conformation number and made us submit our write up. The write up was shown, we also included imagining and a basic letter from from the doctor that they should have. ( show your doctor the copy of Osborne if they don’t have one). Make sure to make a note in your write up how “rare” the condition is. Recall the 5 day turn around, day 2/3 call again. “Just calling to make sure you got it”, stress the dates of surgery and ask if it can be " expedited" The more you follow up, the more notes, the more sense of urgency. This documentation will be reviewed by a nurse practitioner. FIGHT FIGHT FIGHT! Insurance works for us, shame its gotten to this point.