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c/insurancefights·submitted 14 days ago by u/hedda_aguirre

[Template] the three sentences that got my prior auth through

Templatebranch of 4 comments

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…

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4 comments, started 13 days ago
u/formulary_fighterMOD3 points·13 days ago

Tracking number removed. It identifies both ends of a shipment.

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u/bence_zielinski3 points·13 days ago

Not convinced. The evidence does not support that reading.

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u/slow_logbook_notes1 point·13 days ago

appeal letter templates are in the wiki

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u/hedda_aguirreOP1 point·12 days ago

the UK plan: step therapy required 20 medications first. Did them all, got approval. The order matters.

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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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