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85

[Win] four denials, three appeals, one external review, approved

Win

Something I noticed reading old threads that I have not seen said out loud.

The advice on external review in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with the same confidence.

I have listed what I think the current consensus is below. Correct me — that is the point of posting it.

136 up / 51 down73% upvoted16 commentsid 1boixe26 Jul 2026

16 comments

16 in this archive, depth 4

best — the order this archive was captured in

u/ferritin_low16 points·2 days ago
it is in the wiki actually
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u/arne_amankwah13 points·2 days ago

Yeah, the denial code matters, it tells you what to fight.

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u/hplc_hobbyistruns their own column4 points·1 days ago

Not to be pedantic but formulary and appeal are being used interchangeably and they are not interchangeable in real life.

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u/maren_sorensen9 points·3 days ago

Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.

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u/slow_logbook_notes11 points·3 days ago

I am going to push back on this slightly.

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u/adaeze_weiss6 points·2 days ago

formulary exclusions are negotiable sometimes

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u/cardio_endpoint_cOP3 points·2 days ago

formulary exclusions are negotiable sometimes

Yes, exactly this, and it is the bit that took me 84 weeks to accept.

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[removed]2 points·2 days ago

[removed by moderator]

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u/cardio_endpoint_cOP4 points·2 days ago

Copay was external review for the copay then another 16% of the total. Read the actual plan document.

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u/purity_pedantanalytical4 points·3 days ago

the carve-out clause varies by employer

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u/wholesome_lurker3 points·2 days ago

do not suggest misrepresenting a diagnosis, that is fraud

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u/controversial_only2 points·2 days ago

This is correct. Appeal letters work.

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About c/insurancefights

The paperwork war. Prior-authorisation criteria, denial reason codes, step-therapy documentation, external review, employer carve-outs, and the appeal letter templates the community has iterated on for three years. Mostly US-shaped but the tactics generalise.

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