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c/insurancefights·submitted 1 year ago by u/hassan_castellanos

[Meta] proposal — a flair for prior authorization posts

Appealbranch of 5 comments

Something I noticed reading old threads that I have not seen said out loud. The advice on copay 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…

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5 comments, started 1 year ago
u/step_therapy_sMOD175 points·1 year ago

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

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u/hassan_castellanosOP102 points·1 year ago

say which country and which plan type

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u/hassan_castellanosOP-37 points·1 year ago

External review overturned the denial. Took 22 weeks but the process exists.

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u/teodor_duarte1 point·1 year ago

formulary exclusions are negotiable sometimes

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[removed]1 point·1 year ago

[removed by moderator]

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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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