does copay actually matter or is it forum lore at this point
Trying to settle this properly because the thread from last year went in circles. The claim: external review matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 18 months without either producing anything. What would actually settle it is 3 people measuring the…
denial reason codes matter, ask for the actual code
This is correct. Appeal letters work.
prior auth criteria are state-specific, copay differs
copay is separate from coverage
prior auth criteria are state-specific, denial differs
Not convinced. The evidence does not support that reading.
No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.
say which country and which plan type
Not to be pedantic but appeal and denial are being used interchangeably and they are not interchangeable in real life.