Prior-Authorization Decision-Deadline Clock
Prior-authorization decision deadline under CMS-0057-F: the standard or expedited window from the request date and the decision-due date.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Request date
- 2026-06-01
- Request type
- Standard (CMS-0057-F: 7 calendar days)
Result: Standard window 7 calendar days; decision due 2026-06-08.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Request date (YYYY-MM-DD)
- Request type: standard, expedited, or custom (supply the days)
- Plan-specified window in days.
Full field descriptions
- Plan-specified window in days. Used only when the request type is "custom"; a value given alongside standard or expedited is reported back as unused.
How this is calculated
CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F, 2024): impacted payers must decide a standard PA within 7 calendar days and an expedited PA within 72 hours (effective 2026). Commercial/ERISA windows vary. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.