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c/insurancefights·submitted 4 months ago by u/honest_syringe19

[Results] 81 weeks on 2.4mg, full numbers, ask me anything boring

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Right, the formulary question again, but with numbers this time. I have 6 data points over 10 weeks. The pattern is consistent enough that I do not think it is chance, and boring enough that nobody is going to screenshot it, which is usually a good sign. The thing I would flag for anyone new: the effect I am…

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4 comments, started 4 months ago

u/nnt_nate10 points·4 months ago

genuinely useful, thanks

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u/marta_vanhecke7 points·4 months ago

redact member ids and group numbers from every screenshot

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[deleted]5 points·4 months ago

[deleted]

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u/appeal_letter_al2 points·4 months ago

the carve-out clause varies by employer

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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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