- This card used to say 'Request prior authorization,' but has been updated to 'File an appeal or request medical director review' due to the fact that prior authorization is typically done before prescribing a therapy, whereas an appeal or medical director review is the appropriate next step after a denial (Feb 2025)
Source: UWorld - Step 2 21750

the correct option "Contact the insurance company to request medical director review"

https://next.amboss.com/us/article/Np0-pS?utm_source=navbar&utm_medium=anki&utm_campaign=anki&utm_term=prior%2Bauthorization&guid=AOiODCwW9z&aid=f2240460-1c5c-4fda-907d-606669181eb5&uid=1zHc27Gd0#Zc26e19fbd88371e4ef773e89810637b5

"Insurance companies often require prior authorization before covering treatments for which there are concerns about cost-effectiveness, safety, and/or medical necessity. A clinician can appeal a denial of coverage if they believe the treatment is medically necessary. [22]"