[Question] Denmark — has anyone got a straight answer on province
Denmark — has anyone got a straight answer on province — that is what I am asking, and I have already read the wiki twice. Formulary criteria are revised, and plan renewal is a natural point at which a previously refused request may succeed without anything about the applicant changing. Nothing here is medical or…
A rejected claim at the pharmacy counter and a denied authorization are different events with different remedies. The first can be an administrative or quantity issue; the second is a determination you can appeal.
Has your plan renewed since the last time you applied?
A rejected claim at the pharmacy counter and a denied authorization are different events with different remedies.
Agreed — write the application against the published criteria rather than around them.
Agreed — write the application against the published criteria rather than around them.
Adding the fastest step — ask the pharmacist. They can usually check in minutes.
Yes. Approval and coverage are separate, and this board conflates them in about half its threads.
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keep every form, every date, every reference number
keep every form, every date, every reference number
This is why every thread here needs a province in it.
A rejected claim at the pharmacy counter and a denied authorization are different events with different remedies.
Disagreeing with this line: that is an employer plan process and the provincial one differs.
Was this a denied authorization or a rejected claim?
Special authorization is a documented exception process with published criteria. Applications that answer those criteria explicitly, point by point, fare better than general clinical narratives.