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Single comment threadYou are looking at one branch of genuine question about denial that I am slightly embarrassed to ask — 66 comments in the full submission. View in context.
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c/insurancefights·submitted 1 year ago by u/saskia_lokken

genuine question about denial that I am slightly embarrassed to ask

Appealbranch of 5 comments

Confession thread, sort of. I went from 0.5mg to 12.5mg much faster than I should have because the scale had stalled and I got impatient. The stall broke about 5 weeks later, at which point I had no way of knowing whether the dose increase did anything or whether it would have broken anyway. So now I have sulphur…

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5 comments, started 1 year ago
u/vito_beaulieu126 points·1 year ago

Disagree but this is the good kind of wrong — it is specific enough to be checked.

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u/camila_vasquez36 points·1 year ago

denial reason codes matter, ask for the actual code

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u/niels_salinas29 points·1 year ago

step therapy documentation is the weapon, use it

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u/tomas_lehtinen20 points·1 year ago

do not suggest misrepresenting a diagnosis, that is fraud

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u/adaeze_cabrera16 points·1 year ago

appeal letter templates are in the wiki

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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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