Prior Authorization

Revised and approved by the ACEP Board of Directors February 2003 and April 2010
This policy statement originated as Council Resolution CR025 November 1987 and approved as a policy statement by the ACEP Board of Directors October 1998 

The American College of Emergency Physicians (ACEP) affirms the principle that patients should receive prompt emergency care regardless of payment source or ability to pay.

ACEP asserts that prior authorization rules instituted by third party payers must not pose a barrier to patients seeking access to timely emergency care.

 Insurance coverage rules regarding financial obligations are a matter between patient and insurer. Insurance coverage does not affect the obligation of the physician to perform a medical screening examination and provide necessary stabilizing treatment or appropriate transfer, nor the financial obligation incurred by the patient for such evaluation and care.