book cover of Prior Authorization
 

Prior Authorization

(2026)
(The third book in the Lapse Trilogy series)
A novel by

 
 
He is nine years old. The procedure is completely treatable.

It has been denied three times.

Simone Okafor is a public defender. She has spent her career in rooms where the outcome was decided before anyone sat down. She knows exactly what Meridian Health Solutions is doing to her son.

Knowing has not helped.

Eli's file is row 95 in a spreadsheet that takes eighteen minutes to scroll through. The woman who built it has two file cabinets and six months of preparation. The woman who called her has a case number of her own and a year she does not talk about.

In eleven days the three of them will sit in a congressional subcommittee hearing room. Across the table, for the first time in three books, a man who never denied a claim in his life will have a nameplate with his full name on it.

He wrote the requirements that made the claims fail.

Every revision was defensible. Every one was approved. Every one moved the number.

The hearing is scheduled for ten in the morning. Eli's procedure is not scheduled at all.

Prior Authorization is the final book in The Lapse Trilogy.


Genre: Thriller

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