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[Denied] employer carve-out was in the plan document, not the summary
Long-ish post, sorry. tl;dr at the bottom. I have been tracking copay against eGFR for 23 weeks because I could not find anyone who had. The correlation is weaker than I expected, which is itself mildly interesting given how confidently people link the two in here. Caveats up front: one person, one lab, one assay, no…
search before post, but also, welcome
This is correct. Appeal letters work.
The confident tone is doing a lot of work that the evidence is not.
step therapy documentation is the weapon, use it
Strongly agree. Step therapy is predictable if you have the criteria.