Prior authorization for spine surgery has become increasingly complex. Often, we must submit clinic notes to the insurance company and wait for some predetermined minimum time set by them. Other times, the request goes into peer review and we have to discuss the case doctor to doctor with your insurance. Sometimes, further conservative care will be required before authorization will be considered. Realize we have no interest in delaying your surgery and are doing all we can to expedite the authorization, however, your insurer is not always of the same mindset. Feel free to contact them directly and urge them to work faster on their end.