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c/insurancefights·posted 11 months ago by u/whois_wanda

the appeal question that gets asked weekly, answered properly

Question Clean Column ×2 Well Actually ×1 Slow Clap ×1

Long-ish post, sorry. tl;dr at the bottom.

I have been tracking denial against ApoB for 39 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 control, and I changed my training in the middle of it, which was stupid.

tl;dr: probably real, definitely smaller than the threads imply, and not worth reorganising your week around.

2,825 up / 132 down96% upvoted15 commentsid 1eik3e11 Aug 2025

15 comments

12 in this archive, depth 3

best — the order this archive was captured in

u/greta_chukwu322 points·11 months ago·edited

denial reason codes matter, ask for the actual code

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u/whois_wandaOP144 points·11 months ago

I am going to push back on this slightly.

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u/arne_amankwah113 points·11 months ago

formulary exclusions are negotiable sometimes

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u/line_bergstrom144 points·11 months ago

do not suggest misrepresenting a diagnosis, that is fraud

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u/nadia_trevino47 points·11 months ago

do not suggest misrepresenting a diagnosis, that is fraud

Yes, exactly this, and it is the bit that took me 47 weeks to accept.

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u/kian_balogun38 points·11 months ago

Not to be pedantic but prior authorization and denial are being used interchangeably and they are not interchangeable in real life.

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u/hugo_pires13 points·11 months ago

appeal letter templates are in the wiki

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u/whois_wandaOP28 points·11 months ago

Copay was external review for the copay then another 22% of the total. Read the actual plan document.

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u/wholesome_lurker148 points·11 months ago

Copay was step therapy for the copay then another 23% of the total. Read the actual plan document.

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u/whois_wandaOP214 points·11 months ago

External review overturned the denial. Took 18 weeks but the process exists.

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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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